Kristina Kelsey, is a medicare enrolled "Speech-language Pathologist" provider in Allendale, Illinois. Her current practice location is
12898 N 2020 Blvd, Allendale, Illinois. You can reach out to her office (for appointments etc.) via phone at
(161) 820-3613.
Kristina Kelsey is licensed to practice in Illinois (license number 146007689) 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 1972977064.
Healthcare Provider's Profile
| Full Name | Kristina Kelsey |
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| Gender | Female |
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| Speciality | Speech-language Pathologist |
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| Location | 12898 N 2020 Blvd, Allendale, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1972977064
- Provider Enumeration Date: 11/30/2015
- Last Update Date: 11/30/2015
Medicare PECOS Information:
- PECOS PAC ID: 7719352103
- Enrollment ID: I20230418000646
Medical Identifiers
Medical identifiers for Kristina Kelsey such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1972977064 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 235Z00000X | Speech-language Pathologist | 146007689 (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. Kristina Kelsey allows following entities to bill medicare on her behalf.
| Provider Name | Empowerme Rehabilitation Illinois Llc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1679098263
PECOS PAC ID: 2365718277
Enrollment ID: O20171020001353 |
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| Provider Name | Empowerme Wellness Kansas City Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1174118103
PECOS PAC ID: 9830504836
Enrollment ID: O20210317001954 |
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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. Kristina Kelsey 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 |
|---|
Kristina Kelsey,
12898 N 2020 Blvd,
Allendale, IL 62410-2014
Ph: (161) 820-3613 | Kristina Kelsey,
12898 N 2020 Blvd,
Allendale, IL 62410-2014
Ph: (161) 820-3613 |
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