Crystal Dianne Kellam, MSW - Medicare Counselor in Greenville, NC

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Crystal Dianne Kellam, MSW is a medicare enrolled "Social Worker - Clinical" provider in Greenville, North Carolina. She graduated from healthcare school in 2018 and has 6 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice East Carolina University and her current practice location is 905 Johns Hopkins Dr, Greenville, North Carolina. You can reach out to her office (for appointments etc.) via phone at (252) 744-1406.

Crystal Dianne Kellam is licensed to practice in North Carolina (license number C013218) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1265084800.

Contact Information

Crystal Dianne Kellam, MSW
905 Johns Hopkins Dr,
Greenville, NC 27834-2056
(252) 744-1406
(252) 744-4270

Map and Direction


Healthcare Provider's Profile

Full NameCrystal Dianne Kellam
GenderFemale
SpecialityClinical Social Worker
Experience6 Years
Location905 Johns Hopkins Dr, Greenville, North Carolina
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Crystal Dianne Kellam graduated from medical school in 2018
  NPI Data:
  • NPI Number: 1265084800
  • Provider Enumeration Date: 07/14/2019
  • Last Update Date: 02/15/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2860810777
  • Enrollment ID: I20200909001927

Medical Identifiers

Medical identifiers for Crystal Dianne Kellam such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265084800NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) 24703 (North Carolina)Secondary
1041C0700XSocial Worker - Clinical C013218 (North Carolina)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
East Carolina University0244143246362

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. Crystal Dianne Kellam allows following entities to bill medicare on her behalf.
Entity NameEast Carolina University
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972551919
PECOS PAC ID: 0244143246
Enrollment ID: O20031106000400
Entity NameVidant Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477648731
PECOS PAC ID: 0345343893
Enrollment ID: O20070321000445

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. Crystal Dianne Kellam 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 AddressPractice Location Address
Crystal Dianne Kellam, MSW
Po Box 751069,
Charlotte, NC 28275-1069

Ph: () -		Crystal Dianne Kellam, MSW
905 Johns Hopkins Dr,
Greenville, NC 27834-2056

Ph: (252) 744-1406

Reviews and Comments


Social Worker in Greenville, NC


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.