Stephanie Ann Kelly, MA, LMHC in Brandon, FL - Medicare Counselor Provider

Stephanie Ann Kelly, MA, LMHC is a medicare enrolled "Counselor - Mental Health" provider in Brandon, Florida. Her current practice location is 1111 Oakfield Dr, Brandon, Florida. You can reach out to her office (for appointments etc.) via phone at (813) 563-9553.

Stephanie Ann Kelly is licensed to practice in Florida (license number MH17627) 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 1619508017.

Contact Information

	Stephanie Ann Kelly, MA, LMHC
	1111 Oakfield Dr, Brandon, FL 33511-4930
	(813) 563-9553
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Stephanie Ann Kelly
Gender	Female
Speciality	Counselor - Mental Health
Location	1111 Oakfield Dr, Brandon, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619508017
Provider Enumeration Date: 02/04/2020
Last Update Date: 01/17/2023

Medicare PECOS Information:

PECOS PAC ID: 9436595493
Enrollment ID: I20240312004077

Medical Identifiers

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

Identifier	Type	State	Issuer
1619508017	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	MH17627 (Florida)	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. Stephanie Ann Kelly allows following entities to bill medicare on her behalf.

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20210414000053

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. Stephanie Ann 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
Stephanie Ann Kelly, MA, LMHC 5829 W Knights Griffin Rd, Plant City, FL 33565-3711 Ph: (813) 464-4545	Stephanie Ann Kelly, MA, LMHC 1111 Oakfield Dr, Brandon, FL 33511-4930 Ph: (813) 563-9553

Reviews and Comments

Counselor in Brandon, FL

Ms. Mary Escudie, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 306 W Sadie St, Brandon, FL 33510 Phone: 813-438-5949
Teresa Eddinger, Counselor Medicare: Not Enrolled in Medicare Practice Location: 135 N Moon Ave, Brandon, FL 33510 Phone: 813-689-8828
Niambi Espada, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 160 E Bloomingdale Ave, Brandon, FL 33511 Phone: 813-358-6221
Matthew Rauch, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 510 Vonderburg Dr Ste 301, Brandon, FL 33511 Phone: 813-881-1000
Christianne Guy, Counselor Medicare: Not Enrolled in Medicare Practice Location: 135 N Moon Ave, Brandon, FL 33510 Phone: 813-689-8828
Angel Gardner, Counselor Medicare: Not Enrolled in Medicare Practice Location: 135 N Moon Ave, Brandon, FL 33510 Phone: 813-689-8828 Fax: 813-689-8802
Cloie N. Williams, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1210 Millennium Pkwy, Suite 1010, Brandon, FL 33511 Phone: 813-685-7303 Fax: 813-684-7555

Stephanie Ann Kelly, MA, LMHC - Medicare Counselor in Brandon, FL