Kellett Tighe, in Santa Fe Springs, CA - Medicare Counselor Provider

Kellett Tighe, is a medicare enrolled "Counselor - Addiction (substance Use Disorder)" provider in Santa Fe Springs, California. His current practice location is 10425 Painter Ave, Santa Fe Springs, California. You can reach out to his office (for appointments etc.) via phone at (562) 906-2685.

Kellett Tighe is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1194323402.

Contact Information

	Kellett Tighe,
	10425 Painter Ave, Santa Fe Springs, CA 90670-3429
	(562) 906-2685
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kellett Tighe
Gender	Male
Speciality	Counselor - Addiction (substance Use Disorder)
Location	10425 Painter Ave, Santa Fe Springs, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194323402
Provider Enumeration Date: 10/09/2020
Last Update Date: 10/09/2020

Medicare PECOS Information:

PECOS PAC ID: 5294173712
Enrollment ID: I20240403001981

Medical Identifiers

Medical identifiers for Kellett Tighe such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194323402	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	(* (Not Available))	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. Kellett Tighe allows following entities to bill medicare on his behalf.

Entity Name	Grow Healthcare Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154994846 PECOS PAC ID: 1850774746 Enrollment ID: O20220809004080

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. Kellett Tighe 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
Kellett Tighe, 10425 Painter Ave, Santa Fe Springs, CA 90670-3429 Ph: (562) 906-2685	Kellett Tighe, 10425 Painter Ave, Santa Fe Springs, CA 90670-3429 Ph: (562) 906-2685

Reviews and Comments

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Kellett Tighe, - Medicare Counselor in Santa Fe Springs, CA