Kelly J Butler, MD 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 Name	Kelly J Butler
Gender	Female
Speciality	Psychiatry
Experience	27 Years
Location	101 Cabarrus Ave E, Concord, North Carolina
Accepts Medicare Assignments	May 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.

Identifier	Type	State	Issuer
1518960681	NPI	-	NPPES
50704000	Other		MAGELLAN MIS GROUP
CG3623	Other	IN	RAILROAD MEDICARE GROUP
000000056294	Other		ANTHEM GROUP
160780	Other	IN	MEDICARE GROUP
P00289124	Other	KY	MEDICARE RAILROAD
100386460	Other	IN	MEDICAID GROUP
2444451000	Other	KY	PASSPORT GROUP
82900176	Medicaid	KY
1063415297	Other		GROUP NPI #
64029762	Medicaid	KY
78903689	Medicaid	KY
000000239719	Other		ANTHEM
260047968	Other	IN	MEDICARE RAILROAD
2709741000	Other	KY	PASSPORT ADVANTAGE
200319860A	Medicaid	IN
2709741000	Other	KY	PASSPORT
6764	Other	KY	MEDICARE GROUP
264003000	Other		MAGELLAN MIS #
65927857	Medicaid	KY
CK2274	Other	KY	RAILROAD MEDICARE GROUP

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	01053711A (Indiana)	Secondary
2084P0800X	Psychiatry & Neurology - Psychiatry	34651 (Kentucky)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Extended Care Specialists, Inc	2466407713	195
Eventus Wholehealth Midwest Inc	4183040470	122
Extended Care Specialists, Inc	2466407713	195

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 Name	Extended Care Specialists, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134146079 PECOS PAC ID: 2466407713 Enrollment ID: O20050318000726

Entity Name	Eventus Wholehealth Midwest Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI 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 Address	Practice 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 Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1085 Ne Gateway Ct Ne, Ste 290, Concord, NC 28025 Phone: 704-403-4650
Louis David Viamonte, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 380 Copperfield Blvd Ne, Concord, NC 28025 Phone: 704-403-1800
Dr. Carol Richardson, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 284 Executive Park Dr Ste 100, Concord, NC 28025 Phone: 704-939-1100 Fax: 704-939-1173
Howard Lawrence Kreger, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 315 Medical Park Dr, Ste 202, Concord, NC 28025 Phone: 704-403-1911
Katherine Cyran Van Poppel, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 100 Medical Park Dr, Suite 310, Concord, NC 28025 Phone: 704-403-2660
Eric L. Marin, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments 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

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