Kellie A Payne, LPCC LLCDC LSW is a medicare enrolled "Social Worker" provider in Toledo, Ohio. She graduated from healthcare school in 1994 and has 32 years of diverse experience with area of expertise as Mental Health Counselor. She is a member of the group practice Comprehensive Behavioral Health Services Llc and her current practice location is
2770 Centennial Rd, Toledo, Ohio. You can reach out to her office (for appointments etc.) via phone at
(419) 794-0567.
Kellie A Payne is licensed to practice in Ohio (license number E0002484) 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 1144397340.
Healthcare Provider's Profile
| Full Name | Kellie A Payne |
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| Gender | Female |
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| Speciality | Mental Health Counselor |
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| Experience | 32 Years |
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| Location | 2770 Centennial Rd, Toledo, Ohio |
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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:
- Kellie A Payne graduated from medical school in 1994
NPI Data:
- NPI Number: 1144397340
- Provider Enumeration Date: 11/30/2006
- Last Update Date: 06/07/2016
Medicare PECOS Information:
- PECOS PAC ID: 6507156643
- Enrollment ID: I20240202001993
Medical Identifiers
Medical identifiers for Kellie A Payne such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1144397340 | NPI | - | NPPES |
| 975872 | Other | OH | STATE OF OH CHEMICAL DEPE |
| E0002484 | Other | OH | SATE OF OHIO COUNSELOR |
| S0020474 | Other | OH | SOCIAL WORKER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | 975872 (Ohio) | Secondary |
| 104100000X | Social Worker | E0002484 (Ohio) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Comprehensive Behavioral Health Services Llc | 2264502541 | 17 |
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. Kellie A Payne allows following entities to bill medicare on her behalf.
| Entity Name | Comprehensive Behavioral Health Services Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1821266438
PECOS PAC ID: 2264502541
Enrollment ID: O20080529000100 |
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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. Kellie A Payne 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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Kellie A Payne, LPCC LLCDC LSW
2770 Centennial Rd,
Toledo, OH 43617-1829
Ph: (419) 794-0567 | Kellie A Payne, LPCC LLCDC LSW
2770 Centennial Rd,
Toledo, OH 43617-1829
Ph: (419) 794-0567 |
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