Kelly Stauffer, LGPC in Rosedale, MD - Medicare Counselor Provider

Kelly Stauffer, LGPC is a medicare enrolled "Counselor - Mental Health" provider in Rosedale, Maryland. Her current practice location is 9627 Philadelphia Rd Ste 160, Rosedale, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 780-5203.

Kelly Stauffer is licensed to practice in Maryland (license number LGP11072) 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 1558938845.

Contact Information

	Kelly Stauffer, LGPC
	9627 Philadelphia Rd Ste 160, Rosedale, MD 21237-4157
	(410) 780-5203
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kelly Stauffer
Gender	Female
Speciality	Counselor - Mental Health
Location	9627 Philadelphia Rd Ste 160, Rosedale, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1558938845
Provider Enumeration Date: 06/07/2021
Last Update Date: 06/07/2021

Medicare PECOS Information:

PECOS PAC ID: 3072041136
Enrollment ID: I20250116003530

Medical Identifiers

Medical identifiers for Kelly Stauffer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558938845	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	LGP11072 (Maryland)	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. Kelly Stauffer allows following entities to bill medicare on her behalf.

Entity Name	Safe Harbor Behavioral Care Chesapeake Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295246718 PECOS PAC ID: 0042578171 Enrollment ID: O20171219003042

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. Kelly Stauffer 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
Kelly Stauffer, LGPC 9627 Philadelphia Rd Ste 160, Rosedale, MD 21237-4157 Ph: (410) 780-5203	Kelly Stauffer, LGPC 9627 Philadelphia Rd Ste 160, Rosedale, MD 21237-4157 Ph: (410) 780-5203

Reviews and Comments

Counselor in Rosedale, MD

Amber Dukes, LGPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9627 Philadelphia Rd Ste 160, Rosedale, MD 21237 Phone: 410-780-5203
Takisha Wilson, LGPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9627 Philadelphia Rd Ste 160, Rosedale, MD 21237 Phone: 410-780-5203
Iesha Kenyette Felton, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9627 Philadelphia Rd Ste 160, Rosedale, MD 21237 Phone: 410-780-5203
Julianna Jean Wells, LGPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9627 Philadelphia Rd Ste 160, Rosedale, MD 21237 Phone: 410-780-5203 Fax: 410-780-5205
Yazmin R Bell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9627 Philadelphia Rd Ste 160, Rosedale, MD 21237 Phone: 410-780-5203
Nicole Finazzo, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9627 Philadelphia Rd Ste 160, Rosedale, MD 21237 Phone: 410-780-5203
Erek Zimmerman, LGPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9627 Philadelphia Rd Ste 160, Rosedale, MD 21237 Phone: 410-780-5203

Kelly Stauffer, LGPC - Medicare Counselor in Rosedale, MD