Tammy L Kelley, MHRT-C & CADC is a medicare enrolled "Social Worker - Clinical" provider in Caribou, Maine. Her current practice location is
7 Prospect St, Caribou, Maine. You can reach out to her office (for appointments etc.) via phone at
(207) 492-1000.
Tammy L Kelley is licensed to practice in Maine (license number LC16689) 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 1891982302.
Healthcare Provider's Profile
Full Name | Tammy L Kelley |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 7 Prospect St, Caribou, Maine |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1891982302
- Provider Enumeration Date: 09/28/2007
- Last Update Date: 03/17/2018
Medicare PECOS Information:
- PECOS PAC ID: 2668733940
- Enrollment ID: I20180301000485
Medical Identifiers
Medical identifiers for Tammy L Kelley such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1891982302 | NPI | - | NPPES |
103850000 | Other | ME | MAINECARE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | CAC4021 (Maine) | Secondary |
101YM0800X | Counselor - Mental Health | (Maine) | Secondary |
1041C0700X | Social Worker - Clinical | LC16689 (Maine) | 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. Tammy L Kelley allows following entities to bill medicare on her behalf.
Entity Name | Mainehealth |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1790265502 PECOS PAC ID: 7517860588 Enrollment ID: O20040701000166 |
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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. Tammy L Kelley 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 |
Tammy L Kelley, MHRT-C & CADC Po Box 87, Caribou, ME 04736-0087 Ph: (207) 492-1000 | Tammy L Kelley, MHRT-C & CADC 7 Prospect St, Caribou, ME 04736-2456 Ph: (207) 492-1000 |
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