Kelley Ann Macdougall, in West Roxbury, MA - Medicare Counselor Provider

Kelley Ann Macdougall, is a medicare enrolled "Counselor - Mental Health" provider in West Roxbury, Massachusetts. Her current practice location is 540 Vfw Pkwy, West Roxbury, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (617) 325-2993.

Kelley Ann Macdougall is licensed to practice in * (Not Available) (license number ) 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 1174844260.

Contact Information

	Kelley Ann Macdougall,
	540 Vfw Pkwy, West Roxbury, MA 02132-1332
	(617) 325-2993
	(617) 325-2994

Map and Direction

Healthcare Provider's Profile

Full Name	Kelley Ann Macdougall
Gender	Female
Speciality	Counselor - Mental Health
Location	540 Vfw Pkwy, West Roxbury, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174844260
Provider Enumeration Date: 06/12/2010
Last Update Date: 06/12/2010

Medicare PECOS Information:

PECOS PAC ID: 4688025893
Enrollment ID: I20240111002186

Medical Identifiers

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

Identifier	Type	State	Issuer
1174844260	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (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. Kelley Ann Macdougall allows following entities to bill medicare on her behalf.

Entity Name	Community Services Institute, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255450631 PECOS PAC ID: 8224192968 Enrollment ID: O20090126000262

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. Kelley Ann Macdougall 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
Kelley Ann Macdougall, 540 Vfw Pkwy, West Roxbury, MA 02132-1332 Ph: (617) 325-2993	Kelley Ann Macdougall, 540 Vfw Pkwy, West Roxbury, MA 02132-1332 Ph: (617) 325-2993

Reviews and Comments

Counselor in West Roxbury, MA

Joseph Gardner, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2020 Centre Street, West Roxbury, MA 02132 Phone: 617-325-6700 Fax: 617-325-6581
Nichole Artavia, Counselor Medicare: Not Enrolled in Medicare Practice Location: 540 Vfw Pkwy, Suite 6, West Roxbury, MA 02132 Phone: 617-325-2993 Fax: 617-325-5618
Mrs. Yelena Z Lukashev, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 540 Vfw Pkwy, #8, West Roxbury, MA 02132 Phone: 617-325-2993 Fax: 617-325-5618
Sumaiya Afroz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2020 Centre St, West Roxbury, MA 02132 Phone: 508-660-1510
Tai Harper, Counselor Medicare: Not Enrolled in Medicare Practice Location: 540 Vfw Pkwy, Suite 8, West Roxbury, MA 02132 Phone: 617-325-5618
Marina Breydo, MHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 540 Vfw Pkwy, West Roxbury, MA 02132 Phone: 617-325-2993 Fax: 617-325-2994
Isabel Coll, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 28 Ridgecrest Ter, Apt 20, West Roxbury, MA 02132 Phone: 585-857-1341

Kelley Ann Macdougall, - Medicare Counselor in West Roxbury, MA