Kelly Williams, in Las Vegas, NM - Medicare Speech-Language Pathologist Provider

Kelly Williams, is a medicare enrolled "Speech-language Pathologist" provider in Las Vegas, New Mexico. Her current practice location is 1214 National Ave, Las Vegas, New Mexico. You can reach out to her office (for appointments etc.) via phone at (505) 426-8095.

Kelly Williams is licensed to practice in New Mexico (license number SLP7560) 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 1588234942.

Contact Information

	Kelly Williams,
	1214 National Ave, Las Vegas, NM 87701-4033
	(505) 426-8095
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kelly Williams
Gender	Female
Speciality	Speech-language Pathologist
Location	1214 National Ave, Las Vegas, New Mexico
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588234942
Provider Enumeration Date: 06/29/2021
Last Update Date: 10/17/2021

Medicare PECOS Information:

PECOS PAC ID: 9739570821
Enrollment ID: I20211228001295

Medical Identifiers

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

Identifier	Type	State	Issuer
1588234942	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	SL014509 (Pennsylvania)	Secondary
235Z00000X	Speech-language Pathologist	SLP7560 (New Mexico)	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 Williams allows following entities to bill medicare on her behalf.

Provider Name	Phs Physical Therapy Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1912300096 PECOS PAC ID: 9234454851 Enrollment ID: O20150202001629

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 Williams 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 Williams, 594 Lake Meade Dr, East Berlin, PA 17316-9326 Ph: (717) 599-8874	Kelly Williams, 1214 National Ave, Las Vegas, NM 87701-4033 Ph: (505) 426-8095

Reviews and Comments

Speech-Language Pathologist in Las Vegas, NM

Raychel Hosch, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 1118 9th St, Las Vegas, NM 87701 Phone: 505-426-7466 Fax: 505-425-7196
Mrs. June Marie Franklin, MA CCCSLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 179 Bridge St, West Las Vegas Schools, Las Vegas, NM 87701 Phone: 505-426-2781
Mrs. Marian Shapiro, M.S.CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 615 E Lincoln St, Las Vegas, NM 87701 Phone: 505-426-8095 Fax: 505-426-8095
Ms. Mary Adelaide Simpson, M.S.CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 615 E Lincoln St, Las Vegas, NM 87701 Phone: 505-426-8095 Fax: 505-426-8095
Paula Wetterer, MS, SLP-CCC Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 901 Douglas Ave, Las Vegas, NM 87701 Phone: 505-454-5700
Amy Sindt, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1214 National Ave, Las Vegas, NM 87701 Phone: 505-426-8095
Ms. Verlee Neha, MA.CC.SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 179 Bridge St, Las Vegas, NM 87701 Phone: 505-426-2554 Fax: 505-426-2782

Kelly Williams, - Medicare Speech-Language Pathologist in Las Vegas, NM