Nicole Kelly, in Livonia, MI - Medicare Speech-Language Pathologist Provider

Nicole Kelly, is a medicare enrolled "Speech-language Pathologist" provider in Livonia, Michigan. Her current practice location is 38935 Ann Arbor Rd, Livonia, Michigan. You can reach out to her office (for appointments etc.) via phone at (248) 807-8961.

Nicole Kelly is licensed to practice in Michigan (license number 7101008399) 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 1629767942.

Contact Information

	Nicole Kelly,
	38935 Ann Arbor Rd, Livonia, MI 48150-3397
	(248) 807-8961
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Nicole Kelly
Gender	Female
Speciality	Speech-language Pathologist
Location	38935 Ann Arbor Rd, Livonia, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629767942
Provider Enumeration Date: 05/03/2023
Last Update Date: 05/03/2023

Medicare PECOS Information:

PECOS PAC ID: 9830556117
Enrollment ID: I20230531003130

Medical Identifiers

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

Identifier	Type	State	Issuer
1629767942	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	7101008399 (Michigan)	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. Nicole Kelly allows following entities to bill medicare on her behalf.

Provider Name	Bluestone Childrens Center Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1841781531 PECOS PAC ID: 8325375561 Enrollment ID: O20190809001477

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. Nicole 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
Nicole Kelly, 38935 Ann Arbor Rd, Livonia, MI 48150-3397 Ph: () -	Nicole Kelly, 38935 Ann Arbor Rd, Livonia, MI 48150-3397 Ph: (248) 807-8961

Reviews and Comments

Speech-Language Pathologist in Livonia, MI

Rachel M Sawicki, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 36475 Five Mile Rd, Livonia, MI 48154 Phone: 734-655-2955
Marissa White, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 37360 Bristol St, Livonia, MI 48154 Phone: 173-476-3359 Fax: 173-464-7248
Chandana Raveendran, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 35100 Ann Arbor Trl, Livonia, MI 48150 Phone: 734-522-1444
Grace Kuza, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 32003 Plymouth Rd, Livonia, MI 48150 Phone: 248-599-2410
Kristina Marie Andonisio, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 38935 Ann Arbor Rd, Livonia, MI 48150 Phone: 248-886-9540
Ms. Laurie Gail Spangler, CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 18110 Fairfield St, Livonia, MI 48152 Phone: 734-266-1859
Mrs. Esther Edelstein, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 38777 6 Mile Rd Ste 209, Livonia, MI 48152 Phone: 888-414-7056 Fax: 877-414-9925

Nicole Kelly, - Medicare Speech-Language Pathologist in Livonia, MI