Mrs Kelly S Lawrence, LPC, CRNP, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Lakeville, Pennsylvania. Her current practice location is
1258 Purdytown Tpke, Lakeville, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(570) 647-9277.
Mrs Kelly S Lawrence is licensed to practice in Pennsylvania (license number SP027731) 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 1902066996.
Provider's Profile
Full Name | Mrs Kelly S Lawrence |
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Gender | Female |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
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Location | 1258 Purdytown Tpke, Lakeville, Pennsylvania |
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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: 1902066996
- Provider Enumeration Date: 06/12/2008
- Last Update Date: 09/13/2023
Medicare PECOS Information:
- PECOS PAC ID: 0446610695
- Enrollment ID: I20230719001941
Medical Identifiers
Medical identifiers for Mrs Kelly S Lawrence such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1902066996 | NPI | - | NPPES |
101208731 | Medicaid | PA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | SP027731 (Pennsylvania) | Primary |
101YP2500X | Counselor - Professional | PC003700 (Pennsylvania) | 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. Mrs Kelly S Lawrence allows following entities to bill medicare on her behalf.
Entity Name | Arbor Vitae Behavioral Health, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1790265692 PECOS PAC ID: 9537529789 Enrollment ID: O20230719001686 |
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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. Mrs Kelly S Lawrence 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 |
Mrs Kelly S Lawrence, LPC, CRNP, PMHNP-BC 1258 Purdytown Tpke, Lakeville, PA 18438-6793 Ph: (570) 647-9277 | Mrs Kelly S Lawrence, LPC, CRNP, PMHNP-BC 1258 Purdytown Tpke, Lakeville, PA 18438-6793 Ph: (570) 647-9277 |
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