Shannon Kelley, PSYD is a medicare enrolled "Psychologist - Clinical" physician in Allentown, Pennsylvania. She graduated from medical school in 2015 and has 9 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Lehigh Valley Physician Group and her current practice location is
1250 S Cedar Crest Blvd Ste 410, Allentown, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(610) 402-3500.
Shannon Kelley is licensed to practice in Pennsylvania (license number PS018289) 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 1740500412.
Physician's Profile
| Full Name | Shannon Kelley |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 9 Years |
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| Location | 1250 S Cedar Crest Blvd Ste 410, Allentown, Pennsylvania |
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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:
- Shannon Kelley graduated from medical school in 2015
NPI Data:
- NPI Number: 1740500412
- Provider Enumeration Date: 06/04/2010
- Last Update Date: 03/22/2024
Medicare PECOS Information:
- PECOS PAC ID: 0547535676
- Enrollment ID: I20170929000033
Medical Identifiers
Medical identifiers for Shannon Kelley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1740500412 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084B0040X | Psychiatry & Neurology - Behavioral Neurology & Neuropsychiatry | PS018289 (Pennsylvania) | Secondary |
| 103TC0700X | Psychologist - Clinical | PS018289 (Pennsylvania) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Lehigh Valley Physician Group | 3072425123 | 1892 |
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. Shannon Kelley allows following entities to bill medicare on her behalf.
| Entity Name | Lehigh Valley Physician Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1457309650
PECOS PAC ID: 3072425123
Enrollment ID: O20040227000335 |
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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. Shannon Kelley 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 |
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Shannon Kelley, PSYD
2100 Mack Blvd Fl 4,
Allentown, PA 18103-5622
Ph: () - | Shannon Kelley, PSYD
1250 S Cedar Crest Blvd Ste 410,
Allentown, PA 18103-6224
Ph: (610) 402-3500 |
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