Dr Jeff Kelly, PSYD in Crescent City, CA - Medicare Clinical Psychologist Provider

Dr Jeff Kelly, PSYD is a medicare enrolled "Psychologist" provider in Crescent City, California. He graduated from medical school in 2001 and has 23 years of diverse experience with area of expertise as Clinical Psychologist. His current practice location is 1080 Mason Mall Ste 6c, Crescent City, California. You can reach out to his office (for appointments etc.) via phone at (707) 951-7620.

Dr Jeff Kelly is licensed to practice in California (license number PSY20204) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1669631065.

Contact Information

	Dr Jeff Kelly, PSYD
	1080 Mason Mall Ste 6c, Crescent City, CA 95531-4335
	(707) 951-7620
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jeff Kelly
Gender	Male
Speciality	Clinical Psychologist
Experience	23 Years
Location	1080 Mason Mall Ste 6c, Crescent City, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Jeff Kelly graduated from medical school in 2001

NPI Data:

NPI Number: 1669631065
Provider Enumeration Date: 06/02/2008
Last Update Date: 02/07/2020

Medicare PECOS Information:

PECOS PAC ID: 8426475716
Enrollment ID: I20200901002800

Medical Identifiers

Medical identifiers for Dr Jeff Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669631065	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	PSY20204 (California)	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 Jeff Kelly allows following entities to bill medicare on his behalf.

Entity Name	Redwood Psychological, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265096838 PECOS PAC ID: 7517384803 Enrollment ID: O20200901002551

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 Jeff 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
Dr Jeff Kelly, PSYD 5905 Lake Earl Dr, Crescent City, CA 95532-0001 Ph: (707) 465-1000	Dr Jeff Kelly, PSYD 1080 Mason Mall Ste 6c, Crescent City, CA 95531-4335 Ph: (707) 951-7620

Reviews and Comments

Psychologist in Crescent City, CA

Dr. Masoumeh Zinat Razavi, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5905 Lake Earl Dr, Crescent City, CA 95532 Phone: 707-465-1000
Dr. Kimel A. Limon, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 550 H St, Ste 1n, Crescent City, CA 95531 Phone: 541-254-0941 Fax: 707-812-6106
Robert Bernard Levine, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5905 Lake Earl Dr, Crescent City, CA 95532 Phone: 707-465-1000 Fax: 707-465-9193
Dr. Paul Clyde Butler, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 159 Starfish Way, Crescent City, CA 95531 Phone: 707-465-1000
Dr. Regina H Rushe, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5905 Lake Earl Dr, Crescent City, CA 95532 Phone: 707-465-1000 Fax: 707-465-9107
Dr. Christy Eileen Emrich, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5905 Lake Earl Dr, Crescent City, CA 95532 Phone: 707-465-1000
Dr. Elli Kimbauer, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1080 Mason Mall, 6a, Crescent City, CA 95531 Phone: 707-464-7662 Fax: 707-464-7864

Dr Jeff Kelly, PSYD - Medicare Psychologist in Crescent City, CA