Robert Kelly, MA, CADC-I in Canby, OR - Medicare Counselor Provider

Robert Kelly, MA, CADC-I is a medicare enrolled "Counselor - Addiction (substance Use Disorder)" provider in Canby, Oregon. His current practice location is 178 Sw 2nd Ave, Canby, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 416-4547.

Robert Kelly is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1891251286.

Contact Information

	Robert Kelly, MA, CADC-I
	178 Sw 2nd Ave, Canby, OR 97013-4152
	(503) 416-4547
	(503) 416-4553

Map and Direction

Healthcare Provider's Profile

Full Name	Robert Kelly
Gender	Male
Speciality	Counselor - Addiction (substance Use Disorder)
Location	178 Sw 2nd Ave, Canby, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1891251286
Provider Enumeration Date: 02/11/2019
Last Update Date: 03/23/2022

Medicare PECOS Information:

PECOS PAC ID: 7618325846
Enrollment ID: I20231129001676

Medical Identifiers

Medical identifiers for Robert Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891251286	NPI	-	NPPES
500764578	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	(* (Not Available))	Primary

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. Robert Kelly allows following entities to bill medicare on his behalf.

Entity Name	Neighborhood Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174820815 PECOS PAC ID: 8426227893 Enrollment ID: O20110802000211

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. Robert Kelly 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
Robert Kelly, MA, CADC-I 178 Sw 2nd Ave, Canby, OR 97013-4152 Ph: (503) 848-5861	Robert Kelly, MA, CADC-I 178 Sw 2nd Ave, Canby, OR 97013-4152 Ph: (503) 416-4547

Reviews and Comments

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Robert Kelly, MA, CADC-I - Medicare Counselor in Canby, OR