Kelsey Pietro, PSYD in Carson, CA - Medicare Psychologist Provider

Kelsey Pietro, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Carson, California. Her current practice location is 24436 Island Ave, Carson, California. You can reach out to her office (for appointments etc.) via phone at (310) 266-7072.

Kelsey Pietro is licensed to practice in California (license number 30015) 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 1902303191.

Contact Information

	Kelsey Pietro, PSYD
	24436 Island Ave, Carson, CA 90745-6540
	(310) 266-7072
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kelsey Pietro
Gender	Female
Speciality	Psychologist - Clinical
Location	24436 Island Ave, Carson, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902303191
Provider Enumeration Date: 04/12/2018
Last Update Date: 01/25/2023

Medicare PECOS Information:

PECOS PAC ID: 8022372374
Enrollment ID: I20180514001548

Medical Identifiers

Medical identifiers for Kelsey Pietro such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902303191	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	30015 (California)	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. Kelsey Pietro allows following entities to bill medicare on her behalf.

Entity Name	Kelsey Pietro Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750097515 PECOS PAC ID: 8527413723 Enrollment ID: O20231009000159

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. Kelsey Pietro 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
Kelsey Pietro, PSYD 24436 Island Ave, Carson, CA 90745-6540 Ph: () -	Kelsey Pietro, PSYD 24436 Island Ave, Carson, CA 90745-6540 Ph: (310) 266-7072

Reviews and Comments

Psychologist in Carson, CA

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Brandi Jackson, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 17642 Loganberry Rd, Carson, CA 90746 Phone: 424-205-4729
Dr. Eshawn Deshelle Williams, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 20620 Leapwood Ave Ste B, Carson, CA 90746 Phone: 562-290-7331
Dr. Melvin Medero Moore Jr., PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 17649 Crabapple Way, Carson, CA 90746 Phone: 310-632-9168 Fax: 310-342-3955
Dr. Nyiema Desiree' Carter, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 335 E Albertoni St Ste 200-722, Carson, CA 90746 Phone: 310-738-9271
Ta-taneisha Thames, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 17805 Cottonwood Ct, Carson, CA 90746 Phone: 310-480-8062 Fax: 310-982-2144

Kelsey Pietro, PSYD - Medicare Psychologist in Carson, CA