Justine Sever Chilelli, DO is a medicare enrolled "Psychiatry & Neurology - Child & Adolescent Psychiatry" physician in Lakeside Park, Kentucky. Her current practice location is
2128 Chamber Center Dr., Lakeside Park, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(859) 331-6525.
Justine Sever Chilelli is licensed to practice in Kentucky (license number 04202) 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 1144549585.
Physician's Profile
| Full Name | Justine Sever Chilelli |
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| Gender | Female |
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| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
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| Location | 2128 Chamber Center Dr., Lakeside Park, Kentucky |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1144549585
- Provider Enumeration Date: 05/25/2010
- Last Update Date: 08/10/2018
Medicare PECOS Information:
- PECOS PAC ID: 3971759598
- Enrollment ID: I20240306003151
Medical Identifiers
Medical identifiers for Justine Sever Chilelli such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1144549585 | NPI | - | NPPES |
| 7100464370 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | OS11580 (Florida) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 04202 (Kentucky) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 04202 (Kentucky) | 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. Justine Sever Chilelli allows following entities to bill medicare on her behalf.
| Entity Name | Tms Therapy Partners |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1538705280
PECOS PAC ID: 8729409040
Enrollment ID: O20200521003000 |
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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. Justine Sever Chilelli 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 |
|---|
Justine Sever Chilelli, DO
2128 Chamber Center Dr.,
Lakeside Park, KY 41017
Ph: (859) 331-6525 | Justine Sever Chilelli, DO
2128 Chamber Center Dr.,
Lakeside Park, KY 41017
Ph: (859) 331-6525 |
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