Cheryl Kelly, PMHNP-BC is a medicare enrolled "Clinical Nurse Specialist - Psychiatric/mental Health" in New City, New York. Her current practice location is
6 Horseshoe Ct, New City, New York. You can reach out to her office (for appointments etc.) via phone at
(917) 886-7422.
Cheryl Kelly is licensed to practice in New York (license number 404727) 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 1912694605.
Provider's Profile
Full Name | Cheryl Kelly |
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Gender | Female |
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Speciality | Clinical Nurse Specialist - Psychiatric/mental Health |
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Location | 6 Horseshoe Ct, New City, New York |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1912694605
- Provider Enumeration Date: 04/21/2023
- Last Update Date: 04/21/2023
Medicare PECOS Information:
- PECOS PAC ID: 9032565056
- Enrollment ID: I20231027001224
Medical Identifiers
Medical identifiers for Cheryl Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1912694605 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
364SP0808X | Clinical Nurse Specialist - Psychiatric/mental Health | 404727 (New York) | 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. Cheryl Kelly allows following entities to bill medicare on her behalf.
Entity Name | Aldad Medical Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1174784953 PECOS PAC ID: 9234291436 Enrollment ID: O20081223000175 |
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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. Cheryl Kelly 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 |
Cheryl Kelly, PMHNP-BC 6 Horseshoe Ct, New City, NY 10956-6607 Ph: (917) 886-7422 | Cheryl Kelly, PMHNP-BC 6 Horseshoe Ct, New City, NY 10956-6607 Ph: (917) 886-7422 |
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