Kelsey Scampoli, in Saint Paul, MN - Medicare Psychologist Provider

Kelsey Scampoli, is a medicare enrolled "Psychologist" provider in Saint Paul, Minnesota. Her current practice location is 1360 Energy Park Dr Ste 340, Saint Paul, Minnesota. You can reach out to her office (for appointments etc.) via phone at (651) 646-8985.

Kelsey Scampoli is licensed to practice in Minnesota (license number LP6031) 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 1043753049.

Contact Information

	Kelsey Scampoli,
	1360 Energy Park Dr Ste 340, Saint Paul, MN 55108-5298
	(651) 646-8985
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kelsey Scampoli
Gender	Female
Speciality	Psychologist
Location	1360 Energy Park Dr Ste 340, Saint Paul, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043753049
Provider Enumeration Date: 11/22/2016
Last Update Date: 11/22/2016

Medicare PECOS Information:

PECOS PAC ID: 3779853387
Enrollment ID: I20170714000008

Medical Identifiers

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

Identifier	Type	State	Issuer
1043753049	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	LP6031 (Minnesota)	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 Scampoli allows following entities to bill medicare on her behalf.

Entity Name	Fairview Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461

Entity Name	Fairview Express Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548

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 Scampoli 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 Scampoli, 1360 Energy Park Dr Ste 340, Saint Paul, MN 55108-5298 Ph: (651) 646-8985	Kelsey Scampoli, 1360 Energy Park Dr Ste 340, Saint Paul, MN 55108-5298 Ph: (651) 646-8985

Reviews and Comments

Psychologist in Saint Paul, MN

Dr. Daniel Anthony Christensen, PSY.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 190 5th St E, Suite 100, Saint Paul, MN 55101 Phone: 651-291-1979
Mr. Paul Sterlacci, LIC. PSYCHOLOGIST Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2375 University Ave W, Suite 160, Saint Paul, MN 55114 Phone: 651-642-1709
Dr. Tamarind Knutson, PSY.D., L.P. Psychologist Medicare: Medicare Enrolled Practice Location: 1360 Energy Park Dr Ste 340, Saint Paul, MN 55108 Phone: 651-646-8985
Abdinoor Abdullahi Hassan, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 967 5th St E, Saint Paul, MN 55106 Phone: 315-450-7121
Mohamed Omar Galal, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 967 5th Street East, Saint Paul, MN 55106 Phone: 315-450-7121 Fax: 651-389-0540
Ms. Sharon Grace Lamb, LP LMFT Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1137 Portland Ave, Saint Paul, MN 55104 Phone: 651-290-9088 Fax: 651-290-9311
Jeffry Alan Cottle, MA, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4164 Hemlock Ln, Saint Paul, MN 55127 Phone: 651-308-7176

Kelsey Scampoli, - Medicare Psychologist in Saint Paul, MN