Kelly Ann Knowles, PHD in Hartford, CT - Medicare Psychologist Provider

Kelly Ann Knowles, PHD is a medicare enrolled "Psychologist - Clinical" provider in Hartford, Connecticut. Her current practice location is 200 Retreat Ave, Hartford, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 545-7985.

Kelly Ann Knowles is licensed to practice in Connecticut (license number 004689) 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 1881473049.

Contact Information

	Kelly Ann Knowles, PHD
	200 Retreat Ave, Hartford, CT 06106-3309
	(860) 545-7985
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kelly Ann Knowles
Gender	Female
Speciality	Psychologist - Clinical
Location	200 Retreat Ave, Hartford, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1881473049
Provider Enumeration Date: 09/27/2023
Last Update Date: 01/24/2024

Medicare PECOS Information:

PECOS PAC ID: 4880037019
Enrollment ID: I20240205003257

Medical Identifiers

Medical identifiers for Kelly Ann Knowles such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881473049	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	004689 (Connecticut)	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. Kelly Ann Knowles allows following entities to bill medicare on her behalf.

Entity Name	Hartford Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407806391 PECOS PAC ID: 2567366016 Enrollment ID: O20031125000700

Entity Name	Hartford Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770696643 PECOS PAC ID: 2567366016 Enrollment ID: O20031125000752

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. Kelly Ann Knowles 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
Kelly Ann Knowles, PHD 200 Retreat Ave, Hartford, CT 06106-3309 Ph: (860) 545-7985	Kelly Ann Knowles, PHD 200 Retreat Ave, Hartford, CT 06106-3309 Ph: (860) 545-7985

Reviews and Comments

Psychologist in Hartford, CT

Dr. Brian T Conover, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 500 Vine St, Hartford, CT 06112 Phone: 860-293-6353 Fax: 860-293-6356
Ms. Omayra M. Carrion, LPCA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 43 Woodland St, Hartford, CT 06105 Phone: 860-793-3373
Dr. Deborah Jean Stack, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 682 Prospect Avenue, Hartford, CT 06105 Phone: 860-258-6065 Fax: 860-232-5077
Dr. Alexandra Giatrelis Munro, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 76 New Britain Ave, Hartford, CT 06106 Phone: 860-547-0970
Dr. Luke Hendren, Psychologist Medicare: Medicare Enrolled Practice Location: 200 Retreat Ave, Hartford, CT 06106 Phone: 860-545-7514
James Degiovanni, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 200 Retreat Ave, Hartford Hospital Psychiatry Department, Hartford, CT 06106 Phone: 860-545-7167 Fax: 860-545-7222
Dr. Allan L. Schiffer, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 674 Prospect Ave, Hartford, CT 06105 Phone: 860-233-6228 Fax: 860-233-2371

Kelly Ann Knowles, PHD - Medicare Psychologist in Hartford, CT