Kimberly Kelly, PSYD - Medicare Psychologist in Traverse City, MI

Kimberly Kelly, PSYD is a medicare enrolled "Psychologist" provider in Traverse City, Michigan. She graduated from medical school in 2004 and has 20 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Bay Area Counseling, Llc and her current practice location is 3180 Racquet Club Dr Ste G, Traverse City, Michigan. You can reach out to her office (for appointments etc.) via phone at (231) 933-4009.

Kimberly Kelly is licensed to practice in * (Not Available) (license number ) 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 1447479290.

Contact Information

Kimberly Kelly, PSYD
3180 Racquet Club Dr Ste G,
Traverse City, MI 49684-4797
(231) 933-4009
(231) 933-4032

Map and Direction




Healthcare Provider's Profile

Full NameKimberly Kelly
GenderFemale
SpecialityClinical Psychologist
Experience20 Years
Location3180 Racquet Club Dr Ste G, Traverse City, Michigan
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:
  • Kimberly Kelly graduated from medical school in 2004
  NPI Data:
  • NPI Number: 1447479290
  • Provider Enumeration Date: 04/24/2007
  • Last Update Date: 01/08/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 5799837639
  • Enrollment ID: I20090723000411

Medical Identifiers

Medical identifiers for Kimberly Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1447479290NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist (* (Not Available))Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Bay Area Counseling, Llc24664403834

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. Kimberly Kelly allows following entities to bill medicare on her behalf.
Entity NameBay Area Counseling, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902947088
PECOS PAC ID: 2466440383
Enrollment ID: O20090812000245

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. Kimberly Kelly 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
Kimberly Kelly, PSYD
Po Box 2257,
Chesterton, IN 46304-0357

Ph: (219) 926-8320
Kimberly Kelly, PSYD
3180 Racquet Club Dr Ste G,
Traverse City, MI 49684-4797

Ph: (231) 933-4009

Reviews and Comments


Psychologist in Traverse City, MI

Arthur M Newhouse, MA LLP
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Phone: 231-922-4850    Fax: 231-935-3856
Jill L Platte, MS, LLP
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Phone: 231-922-4850    Fax: 231-935-3856
Dr. Terence Lee Bradley, PHD
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Quentin Paul Kuntz, LLP
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Phone: 231-947-2442    Fax: 231-947-2446
Kathleen Wong Seitz, PHD
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Phone: 231-946-6599    
Kristen Ryder, SSP
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Practice Location: 12935 S West Bay Shore Dr Ste 320, Traverse City, MI 49684
Phone: 231-268-0208    
Dr. Elizabeth Garber Bruning, PH.D.
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Practice Location: 10850 E Traverse Hwy, Suite 4000, Traverse City, MI 49684
Phone: 231-935-0790    Fax: 231-935-0791

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.