Carrie L Kelly, LPC, SACIT in Elkhorn, WI - Medicare Counselor Provider

Carrie L Kelly, LPC, SACIT is a medicare enrolled "Counselor - Professional" provider in Elkhorn, Wisconsin. Her current practice location is W4051 County Road Nn, Elkhorn, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 741-3200.

Carrie L Kelly is licensed to practice in Wisconsin (license number 4558-125) 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 1821263724.

Contact Information

	Carrie L Kelly, LPC, SACIT
	W4051 County Road Nn, Elkhorn, WI 53121-4338
	(262) 741-3200
	(262) 741-3217

Map and Direction

Healthcare Provider's Profile

Full Name	Carrie L Kelly
Gender	Female
Speciality	Counselor - Professional
Location	W4051 County Road Nn, Elkhorn, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1821263724
Provider Enumeration Date: 04/23/2008
Last Update Date: 04/12/2012

Medicare PECOS Information:

PECOS PAC ID: 0244680262
Enrollment ID: I20240103000421

Medical Identifiers

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

Identifier	Type	State	Issuer
1821263724	NPI	-	NPPES
1821263724	Medicaid	WI
30604011	Medicaid	KY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	4558-125 (Wisconsin)	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. Carrie L Kelly allows following entities to bill medicare on her behalf.

Entity Name	Prohealth Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356322440 PECOS PAC ID: 3476465188 Enrollment ID: O20031103000066

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. Carrie L 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
Carrie L Kelly, LPC, SACIT Po Box 1005, Elkhorn, WI 53121-1005 Ph: (262) 741-3200	Carrie L Kelly, LPC, SACIT W4051 County Road Nn, Elkhorn, WI 53121-4338 Ph: (262) 741-3200

Reviews and Comments

Counselor in Elkhorn, WI

Jacquelyn Rupnik, LPC-WI-4813-125 Counselor Medicare: Medicare Enrolled Practice Location: W4051 County Road Nn, Elkhorn, WI 53121 Phone: 262-741-3200
Mrs. Bonnie L Connolly, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 1/2 W Geneva St, Credence Therapy Associates, Elkhorn, WI 53121 Phone: 262-723-3424 Fax: 262-723-8308
Linda Flahive Hornak, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: W4063 Hwy Nn, Elkhorn, WI 53121 Phone: 262-741-1440 Fax: 262-743-2221
Mark Weitkum, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 797 E Geneva St, Elkhorn, WI 53121 Phone: 262-723-1455 Fax: 262-723-1556
Catherine L Griffith, SAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1910 County Road Nn, Elkhorn, WI 53121 Phone: 262-741-3200 Fax: 262-741-3217
Julie Valler, MS, LPC, SACIT Counselor Medicare: Not Enrolled in Medicare Practice Location: W4051 County Road Nn, Elkhorn, WI 53121 Phone: 262-741-3200 Fax: 262-741-3217
Timothy Swanson, MS, LCPC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 1/2 W Geneva St, Elkhorn, WI 53121 Phone: 262-723-3424 Fax: 262-723-8308

Carrie L Kelly, LPC, SACIT - Medicare Counselor in Elkhorn, WI