Miss Kelli Rivelli, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Johnston, Rhode Island. She went to University Of Arkansas College Of Medicine and graduated in 2021 and has 5 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Child And Family Psychiatry, Inc. and her current practice location is
1126 Hartford Ave, Suite 101, Johnston, Rhode Island. You can reach out to her office (for appointments etc.) via phone at
(401) 351-2750.
Miss Kelli Rivelli is licensed to practice in Rhode Island (license number ISW04259) 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 1104919117.
Healthcare Provider's Profile
| Full Name | Miss Kelli Rivelli |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 5 Years |
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| Location | 1126 Hartford Ave, Johnston, Rhode Island |
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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:
- Miss Kelli Rivelli attended and graduated from University Of Arkansas College Of Medicine in 2021
NPI Data:
- NPI Number: 1104919117
- Provider Enumeration Date: 10/02/2006
- Last Update Date: 11/05/2024
Medicare PECOS Information:
- PECOS PAC ID: 6406382233
- Enrollment ID: I20241204000660
Medical Identifiers
Medical identifiers for Miss Kelli Rivelli such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104919117 | NPI | - | NPPES |
| TT24187 | Medicaid | RI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101Y00000X | Counselor | L.C.D.P. # NOT RCVD (Rhode Island) | Secondary |
| 1041C0700X | Social Worker - Clinical | ISW04259 (Rhode Island) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Child And Family Psychiatry, Inc. | 5294173464 | 56 |
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. Miss Kelli Rivelli allows following entities to bill medicare on her behalf.
| Entity Name | Child And Family Psychiatry, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1760863229
PECOS PAC ID: 5294173464
Enrollment ID: O20240406000126 |
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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. Miss Kelli Rivelli 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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Miss Kelli Rivelli, LICSW
1126 Hartford Ave, Suite 101,
Johnston, RI 02919-7130
Ph: (401) 351-2750 | Miss Kelli Rivelli, LICSW
1126 Hartford Ave, Suite 101,
Johnston, RI 02919-7130
Ph: (401) 351-2750 |
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