Dr Kelly J Behrends, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Libertyville, Illinois. She graduated from healthcare school in 2005 and has 21 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Kelly Behrends, Psyd, Pc and her current practice location is
1248 American Way, Suite B, Libertyville, Illinois. You can reach out to her office (for appointments etc.) via phone at
(847) 754-5570.
Dr Kelly J Behrends is licensed to practice in Illinois (license number 071.007337) 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 1598809113.
Healthcare Provider's Profile
| Full Name | Dr Kelly J Behrends |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 21 Years |
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| Location | 1248 American Way, Libertyville, Illinois |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Kelly J Behrends graduated from medical school in 2005
NPI Data:
- NPI Number: 1598809113
- Provider Enumeration Date: 02/16/2007
- Last Update Date: 08/28/2013
Medicare PECOS Information:
- PECOS PAC ID: 1456404078
- Enrollment ID: I20090729000888
Medical Identifiers
Medical identifiers for Dr Kelly J Behrends such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1598809113 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YP2500X | Counselor - Professional | 180003498 (Illinois) | Secondary |
| 103TC0700X | Psychologist - Clinical | 071.007337 (Illinois) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Kelly Behrends, Psyd, Pc | 5991858516 | 4 |
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. Dr Kelly J Behrends allows following entities to bill medicare on her behalf.
| Entity Name | Kelly Behrends, Psyd, Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1962632463
PECOS PAC ID: 5991858516
Enrollment ID: O20090729000897 |
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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. Dr Kelly J Behrends 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 |
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Dr Kelly J Behrends, PSYD
1248 American Way, Suite B,
Libertyville, IL 60048-3936
Ph: (847) 754-5570 | Dr Kelly J Behrends, PSYD
1248 American Way, Suite B,
Libertyville, IL 60048-3936
Ph: (847) 754-5570 |
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