Kelli Sue Williams, PHD - Medicare in Philadelphia, PA

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Kelli Sue Williams, PHD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" provider in Philadelphia, Pennsylvania. She graduated from medical school in 1989 and has 35 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice University Of Penn-medical Group and her current practice location is 1800 Lombard St, Ground Floor, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 662-3259.

Kelli Sue Williams is licensed to practice in Pennsylvania (license number PS006186L) 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 1205086188.

Contact Information

Kelli Sue Williams, PHD
1800 Lombard St, Ground Floor,
Philadelphia, PA 19146-1414
(215) 662-3259
(215) 615-3610

Map and Direction




Healthcare Provider's Profile

Full NameKelli Sue Williams
GenderFemale
SpecialityClinical Psychologist
Experience35 Years
Location1800 Lombard St, Philadelphia, Pennsylvania
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:
  • Kelli Sue Williams graduated from medical school in 1989
  NPI Data:
  • NPI Number: 1205086188
  • Provider Enumeration Date: 09/26/2008
  • Last Update Date: 01/29/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 1355400771
  • Enrollment ID: I20081030000114

Medical Identifiers

Medical identifiers for Kelli Sue Williams such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205086188NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist PS006186L (Pennsylvania)Secondary
103TR0400XPsychologist - Rehabilitation PS006186L (Pennsylvania)Secondary
2084P0800XPsychiatry & Neurology - Psychiatry PS006186L (Pennsylvania)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
University Of Penn-medical Group62047309553051

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. Kelli Sue Williams allows following entities to bill medicare on her behalf.
Entity NameJeffrey S Grand, Psyd, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346364957
PECOS PAC ID: 9234238023
Enrollment ID: O20070619000686
Entity NameUniversity Of Penn-medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235527342
PECOS PAC ID: 6204730955
Enrollment ID: O20141111000091

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. Kelli Sue Williams 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
Kelli Sue Williams, PHD
1800 Lombard St, Ground Floor,
Philadelphia, PA 19146-1414

Ph: (215) 662-3259		Kelli Sue Williams, PHD
1800 Lombard St, Ground Floor,
Philadelphia, PA 19146-1414

Ph: (215) 662-3259

Reviews and Comments



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.