Mrs Jade Yvonne Kelly, MED, CCC-SLP in Tifton, GA - Medicare Speech-Language Pathologist Provider

Mrs Jade Yvonne Kelly, MED, CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Tifton, Georgia. Her current practice location is 1152 Tifton Eldorado Rd, Tifton, Georgia. You can reach out to her office (for appointments etc.) via phone at (478) 455-1171.

Mrs Jade Yvonne Kelly is licensed to practice in Georgia (license number SLP005980) 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 1861994576.

Contact Information

	Mrs Jade Yvonne Kelly, MED, CCC-SLP
	1152 Tifton Eldorado Rd, Tifton, GA 31794-8729
	(478) 455-1171
	(229) 329-4532

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Jade Yvonne Kelly
Gender	Female
Speciality	Speech-language Pathologist
Location	1152 Tifton Eldorado Rd, Tifton, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861994576
Provider Enumeration Date: 03/08/2018
Last Update Date: 03/08/2018

Medicare PECOS Information:

PECOS PAC ID: 2466866694
Enrollment ID: I20231206003556

Medical Identifiers

Medical identifiers for Mrs Jade Yvonne Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861994576	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	SLP005980 (Georgia)	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. Mrs Jade Yvonne Kelly allows following entities to bill medicare on her behalf.

Provider Name	Golden Speech Therapy, Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1073041919 PECOS PAC ID: 3072926484 Enrollment ID: O20210104000736

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. Mrs Jade Yvonne 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
Mrs Jade Yvonne Kelly, MED, CCC-SLP 817 Georgia Dr, Tifton, GA 31794-4215 Ph: (229) 402-2614	Mrs Jade Yvonne Kelly, MED, CCC-SLP 1152 Tifton Eldorado Rd, Tifton, GA 31794-8729 Ph: (478) 455-1171

Reviews and Comments

Speech-Language Pathologist in Tifton, GA

Mackenzie Cross, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 405 Love Ave, Tifton, GA 31794 Phone: 229-402-7188
Rhonda Jordan, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1641 Madison Ave, Tifton, GA 31794 Phone: 229-353-6188 Fax: 229-353-7722
Shannon K Mcdaniel, MED CCC SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1488 Old Ocilla Rd, Tifton, GA 31794 Phone: 229-386-5200
Amy W Marshall, M.ED, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1488 Old Ocilla Rd, Tifton, GA 31794 Phone: 229-386-5200
Kimberly Dawn Wilson, M.ED., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1488 Old Ocilla Rd, Tifton, GA 31794 Phone: 229-386-5200 Fax: 229-386-1412
Amy R Thomas, MED CFY-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1641 Madison Ave, Tifton, GA 31794 Phone: 229-353-6188
Procare Therapy Services Inc. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 607 42nd St E, Tifton, GA 31794 Phone: 229-392-3663 Fax: 229-387-0568

Mrs Jade Yvonne Kelly, MED, CCC-SLP - Medicare Speech-Language Pathologist in Tifton, GA