Tyrone L Kellewood, MHC in Shiprock, NM - Medicare Counselor Provider

Tyrone L Kellewood, MHC is a medicare enrolled "Counselor - Mental Health" provider in Shiprock, New Mexico. His current practice location is Us Hwy 491 North, Shiprock, New Mexico. You can reach out to his office (for appointments etc.) via phone at (505) 368-6001.

Tyrone L Kellewood is licensed to practice in Washington (license number LH 60084686) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1811123136.

Contact Information

	Tyrone L Kellewood, MHC
	Us Hwy 491 North, Shiprock, NM 87420
	(505) 368-6001
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Tyrone L Kellewood
Gender	Male
Speciality	Counselor - Mental Health
Location	Us Hwy 491 North, Shiprock, New Mexico
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1811123136
Provider Enumeration Date: 06/01/2009
Last Update Date: 05/19/2021

Medicare PECOS Information:

PECOS PAC ID: 1557582772
Enrollment ID: I20240813002408

Medical Identifiers

Medical identifiers for Tyrone L Kellewood such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811123136	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	LH 60084686 (Washington)	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. Tyrone L Kellewood allows following entities to bill medicare on his behalf.

Entity Name	Puyallup Tribal Health Authority
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063455665 PECOS PAC ID: 9436047537 Enrollment ID: O20040309001482

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. Tyrone L Kellewood 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
Tyrone L Kellewood, MHC Po Box 160, Shiprock, NM 87420-0160 Ph: (505) 368-6001	Tyrone L Kellewood, MHC Us Hwy 491 North, Shiprock, NM 87420 Ph: (505) 368-6001

Reviews and Comments

Counselor in Shiprock, NM

Rita Joe, C.AD, LADAC, CACIII, Counselor Medicare: Not Enrolled in Medicare Practice Location: Pinon & Cottonwood Dr Building #2301, Shiprock, NM 87420 Phone: 505-368-1438 Fax: 505-368-1461
Mrs. Arminda M. Williams, NM LADAC, AZ LISAC Counselor Medicare: Not Enrolled in Medicare Practice Location: Hwy 491 N., Pinon St., Shiprock, NM 87420 Phone: 505-368-1241 Fax: 505-368-1241
Arlene D Pioche, Counselor Medicare: Not Enrolled in Medicare Practice Location: Us Hwy 491 North, Shiprock, NM 87420 Phone: 505-368-6401 Fax: 505-368-6431
Orlando J Pioche, LADAC Counselor Medicare: Not Enrolled in Medicare Practice Location: Us Hwy 491 N, Shiprock, NM 87420 Phone: 505-368-6401 Fax: 505-368-6431
Andrew James, Counselor Medicare: Not Enrolled in Medicare Practice Location: Hwy 491 Pinon/cottowood Dr Blg. 2301, Shiprock, NM 87420 Phone: 505-368-1438 Fax: 505-368-1437
Gloria King, LPC, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: Pinon & Cottonwood Dr Building # 2301, Shiprock, NM 87420 Phone: 505-368-1438 Fax: 505-368-1461
Delphine Y Clashin, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: Us Hwy 491 North, Shiprock, NM 87420 Phone: 505-368-6020 Fax: 505-368-6431

Tyrone L Kellewood, MHC - Medicare Counselor in Shiprock, NM