Dr Kelley Gill, PHD in Fort Lauderdale, FL - Medicare Psychologist Provider

Dr Kelley Gill, PHD is a medicare enrolled "Psychologist - Clinical" provider in Fort Lauderdale, Florida. Her current practice location is 1752 Nw 3rd Ter, #213, Fort Lauderdale, Florida. You can reach out to her office (for appointments etc.) via phone at (203) 430-9108.

Dr Kelley Gill is licensed to practice in Florida (license number PY 9562) 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 1083087456.

Contact Information

	Dr Kelley Gill, PHD
	1752 Nw 3rd Ter, #213, Fort Lauderdale, FL 33311-4885
	(203) 430-9108
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Kelley Gill
Gender	Female
Speciality	Psychologist - Clinical
Location	1752 Nw 3rd Ter, Fort Lauderdale, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083087456
Provider Enumeration Date: 11/07/2015
Last Update Date: 11/07/2019

Medicare PECOS Information:

PECOS PAC ID: 4981982758
Enrollment ID: I20161028001640

Medical Identifiers

Medical identifiers for Dr Kelley Gill such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083087456	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PY 9562 (Florida)	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 Kelley Gill allows following entities to bill medicare on her behalf.

Entity Name	Martin D Segel Phd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891974317 PECOS PAC ID: 9638078454 Enrollment ID: O20031231000206

Entity Name	Mtca Psychological Services P.a.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740552322 PECOS PAC ID: 6406010834 Enrollment ID: O20120614000204

Entity Name	Palm Beach Psychology Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487085809 PECOS PAC ID: 6709009756 Enrollment ID: O20140521000674

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 Kelley Gill 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 Kelley Gill, PHD 1752 Nw 3rd Ter, #213, Fort Lauderdale, FL 33311-4885 Ph: (203) 430-9108	Dr Kelley Gill, PHD 1752 Nw 3rd Ter, #213, Fort Lauderdale, FL 33311-4885 Ph: (203) 430-9108

Reviews and Comments

Psychologist in Fort Lauderdale, FL

Sandy Bernstein, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 6499 Powerline Rd, Suite 209, Fort Lauderdale, FL 33309 Phone: 954-772-6677 Fax: 954-772-6711
Dr. Colleen M. Pearson, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2598 E Sunrise Blvd Ste 210a, Fort Lauderdale, FL 33304 Phone: 754-301-8739 Fax: 954-206-3005
Ana Zuniga, PSYD. Psychologist Medicare: Medicare Enrolled Practice Location: 3800 W Broward Blvd, Suite 100, Fort Lauderdale, FL 33312 Phone: 954-587-1008
Carl Philippe Pierre Paul, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 1848 Se 1st Ave, Fort Lauderdale, FL 33316 Phone: 954-885-9500 Fax: 954-885-9444
Carolina Magnussen, LMHC Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3000 Ne 56th Ct, Fort Lauderdale, FL 33308 Phone: 954-802-3327
Dr. Sharon Marie Phillips, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1848 Se 1st Ave, Fort Lauderdale, FL 33316 Phone: 954-885-9500
Thomas Moskowitz, Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1848 Se 1st Ave, Fort Lauderdale, FL 33316 Phone: 954-885-9500

Dr Kelley Gill, PHD - Medicare Psychologist in Fort Lauderdale, FL