Kristina Kelley, CCC-SLP in Tampa, FL - Medicare Speech-Language Pathologist Provider

Kristina Kelley, CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Tampa, Florida. Her current practice location is 42002 E Fowler Avenue, Tampa, Florida. You can reach out to her office (for appointments etc.) via phone at (813) 821-8038.

Kristina Kelley is licensed to practice in Florida (license number SA21795) 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 1285777565.

Contact Information

	Kristina Kelley, CCC-SLP
	42002 E Fowler Avenue, Tampa, FL 33620-2715
	(813) 821-8038
	(813) 974-0483

Map and Direction

Healthcare Provider's Profile

Full Name	Kristina Kelley
Gender	Female
Speciality	Speech-language Pathologist
Location	42002 E Fowler Avenue, Tampa, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1285777565
Provider Enumeration Date: 02/15/2007
Last Update Date: 10/23/2023

Medicare PECOS Information:

PECOS PAC ID: 5698129898
Enrollment ID: I20230921002084

Medical Identifiers

Medical identifiers for Kristina Kelley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285777565	NPI	-	NPPES
Y911W	Other	FL	BCBS
119545200	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	SA21795 (Florida)	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 Kelley allows following entities to bill medicare on her behalf.

Provider Name	University Medical Service Association Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1992742324 PECOS PAC ID: 6800790221 Enrollment ID: O20031126000130

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 Kelley 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 Kelley, CCC-SLP Po Box 917770, Orlando, FL 32891-0001 Ph: (813) 821-8038	Kristina Kelley, CCC-SLP 42002 E Fowler Avenue, Tampa, FL 33620-2715 Ph: (813) 821-8038

Reviews and Comments

Speech-Language Pathologist in Tampa, FL

Mrs. Yvette G Nackers, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6508 Gunn Highway, Independent Living Inc, Tampa, FL 33625 Phone: 813-963-6923 Fax: 813-264-0768
Chatterbox Speech & Feeding Therapy Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1737 W North A St, Tampa, FL 33606 Phone: 813-924-0348 Fax: 813-793-4675
Lara Quesada, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4555 S Manhattan Ave, Tampa, FL 33611 Phone: 813-839-6341
Demelza Pendarvis-gray, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6508 Gunn Hwy, Tampa, FL 33625 Phone: 813-963-6923 Fax: 813-264-0768
Success Speech Therapy, Llc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4817 Ehrlich Rd, Tampa, FL 33624 Phone: 877-823-4283
Rachel Rose Knowlton, M.S., CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6924 W Linebaugh Ave, Tampa, FL 33625 Phone: 813-962-6766
Mrs. Harriet Debra Bladuell, MSCCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 13542 N Florida Ave, Suite 213f, Tampa, FL 33613 Phone: 813-323-5748 Fax: 813-319-5835

Kristina Kelley, CCC-SLP - Medicare Speech-Language Pathologist in Tampa, FL