Kelly Van Moen, MS, LLPC - Medicare Counselor in Bruce Twp, MI

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Kelly Van Moen, MS, LLPC is a medicare enrolled "Counselor - Mental Health" provider in Bruce Twp, Michigan. Her current practice location is 124 W Gates St, Suite 103, Bruce Twp, Michigan. You can reach out to her office (for appointments etc.) via phone at (586) 752-6969.

Kelly Van Moen is licensed to practice in Michigan (license number 6401015525) 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 1134571219.

Contact Information

Kelly Van Moen, MS, LLPC
124 W Gates St, Suite 103,
Bruce Twp, MI 48065-4494
(586) 752-6969
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameKelly Van Moen
GenderFemale
SpecialityCounselor - Mental Health
Location124 W Gates St, Bruce Twp, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1134571219
  • Provider Enumeration Date: 07/12/2016
  • Last Update Date: 07/12/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 1355879503
  • Enrollment ID: I20250115002526

Medical Identifiers

Medical identifiers for Kelly Van Moen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134571219NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) 6401015525 (Michigan)Secondary
101YM0800XCounselor - Mental Health 6401015525 (Michigan)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 Van Moen allows following entities to bill medicare on her behalf.
Entity NameMacomb Family Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831190701
PECOS PAC ID: 5193700888
Enrollment ID: O20040618000345

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 Van Moen 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 AddressPractice Location Address
Kelly Van Moen, MS, LLPC
124 W Gates St, Suite 103,
Bruce Twp, MI 48065-4494

Ph: (586) 752-6969		Kelly Van Moen, MS, LLPC
124 W Gates St, Suite 103,
Bruce Twp, MI 48065-4494

Ph: (586) 752-6969

Reviews and Comments


Counselor in Bruce Twp, MI

Shannon Barney, MA, LLPC, NCC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 124 W Gates St, Bruce Twp, MI 48065
Phone: 586-752-9696    
Nancy J Joye, M.A., L.L.P.C., N.C.
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 74258 Judges Ct, Bruce Twp, MI 48065
Phone: 586-752-3247    
Deborah Ann Stys, MS
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 124 W Gates St Ste 102, Bruce Twp, MI 48065
Phone: 586-752-9696    Fax: 586-752-9157
Cynthia Fulkerth,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 124 W Gates St Ste 203, Bruce Twp, MI 48065
Phone: 586-336-0422    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.