Kelly Mahoney, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" physician in Somerville, Massachusetts. Her current practice location is
33 Tower St, Somerville, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(617) 591-4500.
Kelly Mahoney is licensed to practice in North Carolina (license number 5010931) 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 1922580026.
Physician's Profile
| Full Name | Kelly Mahoney |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Psychiatric/mental Health |
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| Location | 33 Tower St, Somerville, Massachusetts |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1922580026
- Provider Enumeration Date: 09/05/2018
- Last Update Date: 10/12/2021
Medicare PECOS Information:
- PECOS PAC ID: 1658625249
- Enrollment ID: I20181119000228
Medical Identifiers
Medical identifiers for Kelly Mahoney such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1922580026 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084P0800X | Psychiatry & Neurology - Psychiatry | 239268 (North Carolina) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | RN2357709 (Massachusetts) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 5010931 (North Carolina) | 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. Kelly Mahoney allows following entities to bill medicare on her behalf.
| Entity Name | Caldwell Memorial Hospital Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1477839108
PECOS PAC ID: 5395646970
Enrollment ID: O20040116000355 |
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| Entity Name | Mindpath Care Centers North Carolina Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1508803214
PECOS PAC ID: 4688655517
Enrollment ID: O20040526001582 |
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| Entity Name | Wakemed Specialists Group Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1588227839
PECOS PAC ID: 2466788377
Enrollment ID: O20190731000815 |
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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. Kelly Mahoney 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 Mahoney, PMHNP
400 W Hargett St Apt 406,
Raleigh, NC 27603-4059
Ph: (910) 603-6162 | Kelly Mahoney, PMHNP
33 Tower St,
Somerville, MA 02143-1426
Ph: (617) 591-4500 |
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