Kelly J Butler, MD - Medicare Psychiatry in Concord, NC

Kelly J Butler, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Concord, North Carolina. She went to University Of Kentucky College Of Medicine and graduated in 1997 and has 27 years of diverse experience with area of expertise as Psychiatry. She is a member of the group practice Extended Care Specialists, Inc, Eventus Wholehealth Midwest Inc, Extended Care Specialists, Inc and her current practice location is 101 Cabarrus Ave E, Concord, North Carolina. You can reach out to her office (for appointments etc.) via phone at (888) 849-7379.

Kelly J Butler is licensed to practice in Kentucky (license number 34651) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1518960681.

Contact Information

Kelly J Butler, MD
101 Cabarrus Ave E,
Concord, NC 28025-3699
(888) 849-7379
(855) 857-7333

Map and Direction




Physician's Profile

Full NameKelly J Butler
GenderFemale
SpecialityPsychiatry
Experience27 Years
Location101 Cabarrus Ave E, Concord, North Carolina
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kelly J Butler attended and graduated from University Of Kentucky College Of Medicine in 1997
  NPI Data:
  • NPI Number: 1518960681
  • Provider Enumeration Date: 05/23/2005
  • Last Update Date: 05/03/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6608062443
  • Enrollment ID: I20101119000196

Medical Identifiers

Medical identifiers for Kelly J Butler such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1518960681NPI-NPPES
50704000OtherMAGELLAN MIS GROUP
CG3623OtherINRAILROAD MEDICARE GROUP
000000056294OtherANTHEM GROUP
160780OtherINMEDICARE GROUP
P00289124OtherKYMEDICARE RAILROAD
100386460OtherINMEDICAID GROUP
2444451000OtherKYPASSPORT GROUP
82900176MedicaidKY
1063415297OtherGROUP NPI #
64029762MedicaidKY
78903689MedicaidKY
000000239719OtherANTHEM
260047968OtherINMEDICARE RAILROAD
2709741000OtherKYPASSPORT ADVANTAGE
200319860AMedicaidIN
2709741000OtherKYPASSPORT
6764OtherKYMEDICARE GROUP
264003000OtherMAGELLAN MIS #
65927857MedicaidKY
CK2274OtherKYRAILROAD MEDICARE GROUP

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry 01053711A (Indiana)Secondary
2084P0800XPsychiatry & Neurology - Psychiatry 34651 (Kentucky)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Extended Care Specialists, Inc2466407713195
Eventus Wholehealth Midwest Inc4183040470122
Extended Care Specialists, Inc2466407713195

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. Kelly J Butler allows following entities to bill medicare on her behalf.
Entity NameExtended Care Specialists, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134146079
PECOS PAC ID: 2466407713
Enrollment ID: O20050318000726
Entity NameEventus Wholehealth Midwest Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386252757
PECOS PAC ID: 4183040470
Enrollment ID: O20200818000277

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. Kelly J Butler 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 AddressPractice Location Address
Kelly J Butler, MD
10513 Championship Ct,
Prospect, KY 40059-8581

Ph: (502) 439-1481
Kelly J Butler, MD
101 Cabarrus Ave E,
Concord, NC 28025-3699

Ph: (888) 849-7379

Reviews and Comments


Psychiatry & Neurology Doctors in Concord, NC

Laura Ann Levin, MD
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Medicare: Medicare Enrolled
Practice Location: 1085 Ne Gateway Ct Ne, Ste 290, Concord, NC 28025
Phone: 704-403-4650    
Louis David Viamonte, MD
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Practice Location: 380 Copperfield Blvd Ne, Concord, NC 28025
Phone: 704-403-1800    
Dr. Carol Richardson, MD
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Practice Location: 284 Executive Park Dr Ste 100, Concord, NC 28025
Phone: 704-939-1100    Fax: 704-939-1173
Howard Lawrence Kreger, MD
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Practice Location: 315 Medical Park Dr, Ste 202, Concord, NC 28025
Phone: 704-403-1911    
Katherine Cyran Van Poppel, MD
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Practice Location: 100 Medical Park Dr, Suite 310, Concord, NC 28025
Phone: 704-403-2660    
Eric L. Marin, MD
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Practice Location: 315 Medical Park Dr, Ste 202, Concord, NC 28025
Phone: 704-403-1911    
Erik James Sass, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 315 Medical Park Dr, Ste 202, Concord, NC 28025
Phone: 704-403-1911    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.