Dr Kelly K Coleman, PSYD, ABPP, RD is a medicare enrolled "Psychologist - Clinical" provider in Honolulu, Hawaii. She graduated from medical school in 2009 and has 15 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice The Queens Medical Center and her current practice location is
2113 Mckinley St, Honolulu, Hawaii. You can reach out to her office (for appointments etc.) via phone at
(808) 286-2659.
Dr Kelly K Coleman is licensed to practice in Washington (license number PY 60130390) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1407189756.
Healthcare Provider's Profile
| Full Name | Dr Kelly K Coleman |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 15 Years |
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| Location | 2113 Mckinley St, Honolulu, Hawaii |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Kelly K Coleman graduated from medical school in 2009
NPI Data:
- NPI Number: 1407189756
- Provider Enumeration Date: 09/17/2009
- Last Update Date: 02/23/2024
Medicare PECOS Information:
- PECOS PAC ID: 9638355670
- Enrollment ID: I20110509000789
Medical Identifiers
Medical identifiers for Dr Kelly K Coleman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1407189756 | NPI | - | NPPES |
| H00433047 | Other | HI | DRIVERS LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | 60056916 (Washington) | Secondary |
| 103TC0700X | Psychologist - Clinical | PSY-1225 (Hawaii) | Secondary |
| 103TC0700X | Psychologist - Clinical | PY 60130390 (Washington) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| The Queens Medical Center | 3476454067 | 176 |
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. Dr Kelly K Coleman allows following entities to bill medicare on her behalf.
| Provider Name | The Queens Medical Center |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1487693586
PECOS PAC ID: 3476454067
Enrollment ID: O20040116000366 |
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| Provider Name | Queens University Medical Group |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1891441382
PECOS PAC ID: 2466831557
Enrollment ID: O20220621000534 |
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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. Dr Kelly K Coleman 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 |
|---|
Dr Kelly K Coleman, PSYD, ABPP, RD
2113 Mckinley St,
Honolulu, HI 96822-2133
Ph: (808) 286-2659 | Dr Kelly K Coleman, PSYD, ABPP, RD
2113 Mckinley St,
Honolulu, HI 96822-2133
Ph: (808) 286-2659 |
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