Mary Kathleen D Kelley, RN, LPC is a medicare enrolled "Counselor - Professional" in Annapolis, Maryland. Her current practice location is
810 Bestgate Rd Ste 325, Annapolis, Maryland. You can reach out to her office (for appointments etc.) via phone at
(571) 344-4224.
Mary Kathleen D Kelley is licensed to practice in Virginia (license number 0701010214) 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 1235774696.
Provider's Profile
Full Name | Mary Kathleen D Kelley |
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Gender | Female |
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Speciality | Counselor - Professional |
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Location | 810 Bestgate Rd Ste 325, Annapolis, Maryland |
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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: 1235774696
- Provider Enumeration Date: 11/08/2019
- Last Update Date: 11/04/2024
Medicare PECOS Information:
- PECOS PAC ID: 8224489034
- Enrollment ID: I20240105002207
Medical Identifiers
Medical identifiers for Mary Kathleen D Kelley such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1235774696 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 0001152431 (Virginia) | Secondary |
101YP2500X | Counselor - Professional | 0701010214 (Virginia) | Primary |
101YM0800X | Counselor - Mental Health | 0701010214 (Virginia) | Secondary |
101YM0800X | Counselor - Mental Health | LC13328 (Maryland) | Secondary |
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. Mary Kathleen D Kelley allows following entities to bill medicare on her behalf.
Entity Name | Commonwealth Counseling Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1851345805 PECOS PAC ID: 0941288583 Enrollment ID: O20210302002411 |
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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. Mary Kathleen D 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 |
Mary Kathleen D Kelley, RN, LPC 810 Bestgate Rd Ste 325, Annapolis, MD 21401-4291 Ph: (703) 831-8300 | Mary Kathleen D Kelley, RN, LPC 810 Bestgate Rd Ste 325, Annapolis, MD 21401-3648 Ph: (571) 344-4224 |
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