Dr Katherine T Kelly, PHD in Winston-salem, NC - Medicare Psychologist Provider

Dr Katherine T Kelly, PHD is a medicare enrolled "Psychologist - Clinical" provider in Winston-salem, North Carolina. Her current practice location is 1001 Reynolda Rd, Stockton Cottage, Winston-salem, North Carolina. You can reach out to her office (for appointments etc.) via phone at (336) 723-1011.

Dr Katherine T Kelly is licensed to practice in North Carolina (license number 2729) 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 1407822372.

Contact Information

	Dr Katherine T Kelly, PHD
	1001 Reynolda Rd, Stockton Cottage, Winston-salem, NC 27104-3245
	(336) 723-1011
	(336) 723-1411

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Katherine T Kelly
Gender	Female
Speciality	Psychologist - Clinical
Location	1001 Reynolda Rd, Winston-salem, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407822372
Provider Enumeration Date: 02/28/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 7416922349
Enrollment ID: I20040901001381

Medical Identifiers

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

Identifier	Type	State	Issuer
1407822372	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	2729 (North Carolina)	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 Katherine T Kelly allows following entities to bill medicare on her behalf.

Entity Name	Katherine T. Kelly, Ph.d., Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902916653 PECOS PAC ID: 0042391823 Enrollment ID: O20080117000742

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 Katherine T 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 Katherine T Kelly, PHD 148 Carrisbrooke Ln, Winston-salem, NC 27104-2528 Ph: (336) 406-8431	Dr Katherine T Kelly, PHD 1001 Reynolda Rd, Stockton Cottage, Winston-salem, NC 27104-3245 Ph: (336) 723-1011

Reviews and Comments

Psychologist in Winston-salem, NC

Ms. Sally Jane Manner, LPA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 840 W 4th St, Winston-salem, NC 27101 Phone: 336-773-0900 Fax: 336-773-0097
Dr. Cristin Carr Whiting, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 632 Holly Ave, Winston-salem, NC 27101 Phone: 336-723-0055 Fax: 336-723-0022
Dr. John Frank Warren Iii, PH.D., PA-C Psychologist Medicare: Medicare Enrolled Practice Location: 840 W 4th St, Winston-salem, NC 27101 Phone: 336-773-0900 Fax: 336-773-0097
Sarah Evelyn Treadway, MA LPA Psychologist Medicare: Not Enrolled in Medicare Practice Location: Medical Center Blvd, Winston-salem, NC 27157 Phone: 336-716-2255
Dr. William Weimar Sloan Jr., PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2905 Briarcliffe Road, Winston-salem, NC 27106 Phone: 336-722-5890 Fax: 336-722-9211
Dr. Jennifer Mccain Thomas, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: Associates In Christian Counseling, 8025 North Point Boulevard, Suite 231, Winston-salem, NC 27106 Phone: 336-896-0065 Fax: 336-896-0710
Dr. John Jay Woodmansee, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3935 Thorndale Dr, Winston-salem, NC 27106 Phone: 336-768-5992

Dr Katherine T Kelly, PHD - Medicare Psychologist in Winston-salem, NC