Ms Kelly Jane Dallessio, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Bridgewater, New Jersey. Her current practice location is
540 Route 22 East, Bridgewater, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(908) 722-1881.
Ms Kelly Jane Dallessio is licensed to practice in New Jersey (license number 37F100168200) 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 1558614214.
Healthcare Provider's Profile
Full Name | Ms Kelly Jane Dallessio |
---|
Gender | Female |
---|
Speciality | Marriage & Family Therapist |
---|
Location | 540 Route 22 East, Bridgewater, New Jersey |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1558614214
- Provider Enumeration Date: 10/18/2012
- Last Update Date: 10/18/2012
Medicare PECOS Information:
- PECOS PAC ID: 9931550035
- Enrollment ID: I20240112000888
Medical Identifiers
Medical identifiers for Ms Kelly Jane Dallessio such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1558614214 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | 37F100168200 (New Jersey) | 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. Ms Kelly Jane Dallessio allows following entities to bill medicare on her behalf.
Entity Name | Comprehensive Psychological And Wellness Center,llc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1821208158 PECOS PAC ID: 5890701528 Enrollment ID: O20060303000461 |
---|
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. Ms Kelly Jane Dallessio 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 |
Ms Kelly Jane Dallessio, LMFT 540 Route 22, Bridgewater, NJ 08807-2405 Ph: (908) 722-1881 | Ms Kelly Jane Dallessio, LMFT 540 Route 22 East, Bridgewater, NJ 08807-2405 Ph: (908) 722-1881 |
Reviews and Comments