Kelly R Wilson, PHD in Cambridge, MA - Medicare Clinical Psychologist Provider

Kelly R Wilson, PHD is a medicare enrolled "Psychologist - Clinical" provider in Cambridge, Massachusetts. She graduated from medical school in 2010 and has 14 years of diverse experience with area of expertise as Clinical Psychologist. Her current practice location is 875 Massachusetts Ave, Suite 71, Cambridge, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (857) 600-0875.

Kelly R Wilson is licensed to practice in Massachusetts (license number 9580) 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 1740596279.

Contact Information

	Kelly R Wilson, PHD
	875 Massachusetts Ave, Suite 71, Cambridge, MA 02139-3067
	(857) 600-0875
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kelly R Wilson
Gender	Female
Speciality	Clinical Psychologist
Experience	14 Years
Location	875 Massachusetts Ave, Cambridge, Massachusetts
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kelly R Wilson graduated from medical school in 2010

NPI Data:

NPI Number: 1740596279
Provider Enumeration Date: 08/21/2010
Last Update Date: 01/15/2013

Medicare PECOS Information:

PECOS PAC ID: 9537474341
Enrollment ID: I20150821013797

Medical Identifiers

Medical identifiers for Kelly R Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740596279	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	9580 (Massachusetts)	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 R Wilson allows following entities to bill medicare on her behalf.

Entity Name	Highland Psychological Associates Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033453584 PECOS PAC ID: 0840501326 Enrollment ID: O20150624003002

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 R Wilson 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 R Wilson, PHD 60 Highland Ave, Apartment 1, Cambridge, MA 02139-1040 Ph: (650) 906-6177	Kelly R Wilson, PHD 875 Massachusetts Ave, Suite 71, Cambridge, MA 02139-3067 Ph: (857) 600-0875

Reviews and Comments

Psychologist in Cambridge, MA

Aliza C Yarrow, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10 Concord Ave, Cambridge, MA 02138 Phone: 617-209-7979 Fax: 617-812-0459
Annemarie Baldauf, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1208 Massachusetts Ave Ste 7, Cambridge, MA 02138 Phone: 617-958-8387 Fax: 617-830-7237
Dr. Michaela Mendelsohn, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1675 Massachusetts Ave, 2nd Floor, Cambridge, MA 02138 Phone: 617-429-3523
Dr. Jennifer Jamieson Bortle, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1218 Massachusetts Ave, Cambridge, MA 02138 Phone: 857-540-9882
Dr. Rita K. Teusch, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 129 Mount Auburn St, Cambridge, MA 02138 Phone: 617-354-2216
Dr. Camille M Dibenedetto, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 49 Hancock St, Suite 205, Cambridge, MA 02139 Phone: 617-492-8775 Fax: 617-924-1027
Angela E Radan, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 119 Windsor St, Cambridge, MA 02139 Phone: 617-665-3925

Kelly R Wilson, PHD - Medicare Psychologist in Cambridge, MA