Stephanie Kelly, PSYD in Orland Park, IL - Medicare Psychologist Provider

Stephanie Kelly, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Orland Park, Illinois. Her current practice location is 7620 W 159th St Ste 101, Orland Park, Illinois. You can reach out to her office (for appointments etc.) via phone at (708) 714-7377.

Stephanie Kelly is licensed to practice in Illinois (license number 071.009850) 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 1447574595.

Contact Information

	Stephanie Kelly, PSYD
	7620 W 159th St Ste 101, Orland Park, IL 60462-5400
	(708) 714-7377
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Stephanie Kelly
Gender	Female
Speciality	Psychologist - Clinical
Location	7620 W 159th St Ste 101, Orland Park, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1447574595
Provider Enumeration Date: 03/18/2010
Last Update Date: 05/01/2023

Medicare PECOS Information:

PECOS PAC ID: 9436402153
Enrollment ID: I20181026001482

Medical Identifiers

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

Identifier	Type	State	Issuer
1447574595	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	071.009850 (Illinois)	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. Stephanie Kelly allows following entities to bill medicare on her behalf.

Entity Name	The Thriving You, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659085470 PECOS PAC ID: 1153784699 Enrollment ID: O20230830003323

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. Stephanie 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 Address	Practice Location Address
Stephanie Kelly, PSYD 7620 W 159th St Ste 101, Orland Park, IL 60462-5400 Ph: (708) 714-7377	Stephanie Kelly, PSYD 7620 W 159th St Ste 101, Orland Park, IL 60462-5400 Ph: (708) 714-7377

Reviews and Comments

Psychologist in Orland Park, IL

Dr. Charles Larson Alexander, PSYD Psychologist Medicare: May Accept Medicare Assignments Practice Location: 15020 S Ravinia Ave, Orland Park, IL 60462 Phone: 708-873-9059 Fax: 708-428-4504
Dr. Michael Ralph Scherer, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 10640 W 165th Street, Orland Park, IL 60467 Phone: 708-364-0261 Fax: 708-364-6019
Dr. Raquel Nowak, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 9631 W 153rd St Ste 38, Orland Park, IL 60462 Phone: 773-888-2586
Dr. Carolyn Guerra Burns, Psychologist Medicare: Accepting Medicare Assignments Practice Location: 200 Ravinia, Orland Park, IL 60527 Phone: 708-460-1212 Fax: 708-460-8396
Dr. Connie Bea Natvig, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 9611 165th St Ste 15, Orland Park, IL 60467 Phone: 708-955-4950
Roger L Parks, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 15127 S 73rd Ave, Suite G, Orland Park, IL 60462 Phone: 616-942-8060 Fax: 616-942-6690
Dr. Kelly Graham, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 9601 165th St, Suite 6, Orland Park, IL 60467 Phone: 708-539-8002

Stephanie Kelly, PSYD - Medicare Psychologist in Orland Park, IL