Dr Brian J Kelly, PHD - Medicare Psychologist in Auburn, NY

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Dr Brian J Kelly, PHD is a medicare enrolled "Psychologist - Counseling" provider in Auburn, New York. His current practice location is 180 North Street, Auburn, New York. You can reach out to his office (for appointments etc.) via phone at (315) 255-2285.

Dr Brian J Kelly is licensed to practice in New York (license number 020001) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1235494774.

Contact Information

Dr Brian J Kelly, PHD
180 North Street,
Auburn, NY 13021-1811
(315) 255-2285
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Brian J Kelly
GenderMale
SpecialityPsychologist - Counseling
Location180 North Street, Auburn, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1235494774
  • Provider Enumeration Date: 07/11/2012
  • Last Update Date: 04/18/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 7315189800
  • Enrollment ID: I20130813000509

Medical Identifiers

Medical identifiers for Dr Brian J Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235494774NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC1900XPsychologist - Counseling 020001 (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. Dr Brian J Kelly allows following entities to bill medicare on his behalf.
Entity NameMedical Director Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871955807
PECOS PAC ID: 0042501116
Enrollment ID: O20160621000218
Entity NameLenox Hill Pain Management And Spine Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063865111
PECOS PAC ID: 4082902234
Enrollment ID: O20161004002016
Entity NameNorthside Psychology Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477058998
PECOS PAC ID: 5193117570
Enrollment ID: O20220114000655
Entity NamePatient First Medical Practice Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255067955
PECOS PAC ID: 0042687006
Enrollment ID: O20221103001230

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. Dr Brian J 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 AddressPractice Location Address
Dr Brian J Kelly, PHD
180 North Street,
Auburn, NY 13021-1811

Ph: (315) 255-2285		Dr Brian J Kelly, PHD
180 North Street,
Auburn, NY 13021-1811

Ph: (315) 255-2285

Reviews and Comments


Psychologist in Auburn, NY

Dr. Stephen Frederick Coleman, PSYD
Psychologist
Medicare: Accepting Medicare Assignments
Practice Location: 11 Seminary Street, Auburn, NY 13021
Phone: 315-255-1382    Fax: 315-255-1382
Mr. Mark Edward Sabine, MS, CAS
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 101 N Marvine Ave, Auburn, NY 13021
Phone: 315-406-7244    
Mr. Mark Silverman, PHD
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 157 Genesee Street, Basement, Auburn, NY 13021
Phone: 315-253-0341    Fax: 315-253-1129
Courtney Elizabeth Du Mond, PH.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 2 South St, Ste 204, Auburn, NY 13021
Phone: 315-370-9964    Fax: 315-370-9964
Dr. Victor Garlock, PH.D
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 1 Hoffman St, Auburn, NY 13021
Phone: 315-704-0319    Fax: 315-728-9445

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.