Patricia V Kelleher, MA,LCPC in Belfast, ME - Medicare Counselor Provider

Patricia V Kelleher, MA,LCPC is a medicare enrolled "Counselor - Mental Health" provider in Belfast, Maine. Her current practice location is 159 Waldo Ave Apt 2, Belfast, Maine. You can reach out to her office (for appointments etc.) via phone at (207) 505-8561.

Patricia V Kelleher is licensed to practice in Maine (license number CC2066) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1306030457.

Contact Information

	Patricia V Kelleher, MA,LCPC
	159 Waldo Ave Apt 2, Belfast, ME 04915-6941
	(207) 505-8561
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Patricia V Kelleher
Gender	Female
Speciality	Counselor - Mental Health
Location	159 Waldo Ave Apt 2, Belfast, Maine
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306030457
Provider Enumeration Date: 08/31/2007
Last Update Date: 01/16/2024

Medicare PECOS Information:

PECOS PAC ID: 3476090648
Enrollment ID: I20240806000732

Medical Identifiers

Medical identifiers for Patricia V Kelleher such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306030457	NPI	-	NPPES
288710099	Medicaid	ME

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	CC2066 (Maine)	Primary
101YP2500X	Counselor - Professional	CC2066 (Maine)	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Patricia V Kelleher allows following entities to bill medicare on her behalf.

Entity Name	Brightside Health Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073072658 PECOS PAC ID: 9234525098 Enrollment ID: O20230724001321

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Patricia V Kelleher is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Patricia V Kelleher, MA,LCPC 159 Waldo Ave Apt 2, Belfast, ME 04915-6941 Ph: (207) 505-8561	Patricia V Kelleher, MA,LCPC 159 Waldo Ave Apt 2, Belfast, ME 04915-6941 Ph: (207) 505-8561

Reviews and Comments

Counselor in Belfast, ME

Ms. Jean Marie Wakem, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 253 Northport Ave, Belfast, ME 04915 Phone: 207-338-4514
Ms. Kirsten Spring Webb, MED LADC LCPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9 Field St Ste 313, Belfast, ME 04915 Phone: 207-930-7000 Fax: 207-338-9922
Daniella Macleod, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 24 Sweetser Drive, Belfast, ME 04915 Phone: 800-434-3000
Ms. Lydia Hall, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 26 Spring St, Belfast, ME 04915 Phone: 207-852-0714
Avery Stowe Laderer, LCPC-C Counselor Medicare: Not Enrolled in Medicare Practice Location: 9 Field St Ste 219, Belfast, ME 04915 Phone: 207-505-6082
Sharon Leavell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9 Field St, Belfast, ME 04915 Phone: 207-338-8960
Ericka Tidmore Travers, LCPC-C, LADC, CCS Counselor Medicare: Not Enrolled in Medicare Practice Location: 26 Spring St, Belfast, ME 04915 Phone: 207-561-7269

Patricia V Kelleher, MA,LCPC - Medicare Counselor in Belfast, ME