Dr Kristen Kelley, PSYD - Medicare Psychologist in Ponte Vedra Beach, FL

Dr Kristen Kelley, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Ponte Vedra Beach, Florida. She graduated from medical school in 2003 and has 21 years of diverse experience with area of expertise as Psychiatry. She is a member of the group practice St Vincent's Ambulatory Care Inc, Baptist Behavioral Health Llc and her current practice location is 98 Nocatee Village Dr, Ponte Vedra Beach, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 376-3800.

Dr Kristen Kelley is licensed to practice in Florida (license number PY8745) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1154483956.

Contact Information

Dr Kristen Kelley, PSYD
98 Nocatee Village Dr,
Ponte Vedra Beach, FL 32081-6152
(904) 376-3800
(904) 390-7392

Map and Direction




Healthcare Provider's Profile

Full NameDr Kristen Kelley
GenderFemale
SpecialityPsychiatry
Experience21 Years
Location98 Nocatee Village Dr, Ponte Vedra Beach, Florida
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Kristen Kelley graduated from medical school in 2003
  NPI Data:
  • NPI Number: 1154483956
  • Provider Enumeration Date: 12/15/2006
  • Last Update Date: 04/05/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1355580176
  • Enrollment ID: I20130626000589

Medical Identifiers

Medical identifiers for Dr Kristen Kelley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154483956NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical PSY20211 (California)Secondary
103TC0700XPsychologist - Clinical PY8745 (Florida)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Vincent's Ambulatory Care Inc2860411188275
Baptist Behavioral Health Llc731516639499

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 Kristen Kelley allows following entities to bill medicare on her behalf.
Entity NameSt Vincent's Ambulatory Care Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417987124
PECOS PAC ID: 2860411188
Enrollment ID: O20051116000430
Entity NameBaptist Behavioral Health Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215906649
PECOS PAC ID: 7315166394
Enrollment ID: O20140924001767

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 Kristen Kelley 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 Kristen Kelley, PSYD
Po Box 748519,
Atlanta, GA 30374-8519

Ph: (904) 376-3800
Dr Kristen Kelley, PSYD
98 Nocatee Village Dr,
Ponte Vedra Beach, FL 32081-6152

Ph: (904) 376-3800

Reviews and Comments


Psychologist in Ponte Vedra Beach, FL

Bambi Lynn Wadelton, PLHD
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Phone: 904-280-8555    Fax: 904-280-8562
Dr. Janice Wachtel, PH.D.
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David Blackmon, PH.D.
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Medicare: Accepting Medicare Assignments
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Phone: 904-333-3389    Fax: 904-713-2989
Andrew Brown King, PHD
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Medicare: Accepting Medicare Assignments
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Phone: 904-376-3800    
Naomi Jacobs, PH.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 100 Executive Way, Suite 207, Ponte Vedra Beach, FL 32082
Phone: 904-687-6336    

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.

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