Kelley Dyanne Sproles, in Alpharetta, GA - Medicare Marriage & Family Therapist Provider

Kelley Dyanne Sproles, is a medicare enrolled "Marriage & Family Therapist" provider in Alpharetta, Georgia. Her current practice location is 5480 Mcginnis Village Pl Ste 104, Alpharetta, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 213-2194.

Kelley Dyanne Sproles is licensed to practice in Georgia (license number MFT001763) 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 1972090538.

Contact Information

	Kelley Dyanne Sproles,
	5480 Mcginnis Village Pl Ste 104, Alpharetta, GA 30005-1746
	(678) 213-2194
	(678) 922-7767

Map and Direction

Healthcare Provider's Profile

Full Name	Kelley Dyanne Sproles
Gender	Female
Speciality	Marriage & Family Therapist
Location	5480 Mcginnis Village Pl Ste 104, Alpharetta, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1972090538
Provider Enumeration Date: 04/19/2018
Last Update Date: 08/23/2021

Medicare PECOS Information:

PECOS PAC ID: 0648610758
Enrollment ID: I20240506003210

Medical Identifiers

Medical identifiers for Kelley Dyanne Sproles such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972090538	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	(* (Not Available))	Secondary
106H00000X	Marriage & Family Therapist	MFT001763 (Georgia)	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. Kelley Dyanne Sproles allows following entities to bill medicare on her behalf.

Entity Name	Personal Recovery Network Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881990869 PECOS PAC ID: 5092611384 Enrollment ID: O20120110000096

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. Kelley Dyanne Sproles 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
Kelley Dyanne Sproles, 5480 Mcginnis Village Pl Ste 104, Alpharetta, GA 30005-1746 Ph: (678) 213-2194	Kelley Dyanne Sproles, 5480 Mcginnis Village Pl Ste 104, Alpharetta, GA 30005-1746 Ph: (678) 213-2194

Reviews and Comments

Marriage & Family Therapist in Alpharetta, GA

Mrs. Elizabeth M. Leonard, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 5755 North Point Parkway, Suite 65, Alpharetta, GA 30022 Phone: 678-353-6778 Fax: 678-336-0154
Miss Chloe Gabrielle Harper, LAMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3300 Old Milton Pkwy Ste 175, Alpharetta, GA 30005 Phone: 404-834-2363
Samantha Elizabeth Heuwagen, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 286 S Main St Ste 100, Alpharetta, GA 30009 Phone: 248-660-0487
Mrs. Denee' Esther Hand, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 6230 Shiloh Rd Ste 140, Alpharetta, GA 30005 Phone: 470-893-1052
Dr. Mark R. Zuccolo, MA, PHD, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 5755 N Point Pkwy, Suite 33, Alpharetta, GA 30022 Phone: 678-554-5632 Fax: 770-645-2588
Ms. Diann Chere Stuart, LAMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 4625 Alexander Dr Ste 240, Alpharetta, GA 30022 Phone: 678-347-0255
Mrs. Kristi M Sutter, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 5755 N Point Pkwy Ste 3, Alpharetta, GA 30022 Phone: 770-361-7155

Kelley Dyanne Sproles, - Medicare Couples Therapy in Alpharetta, GA