Kelsey Ray Bastian, MD in Memphis, TN - Medicare Psychiatry & Neurology

Kelsey Ray Bastian, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Memphis, Tennessee. Her current practice location is 920 Madison Ave Ste 200, Memphis, Tennessee. You can reach out to her office (for appointments etc.) via phone at (901) 448-2400.

Kelsey Ray Bastian is licensed to practice in Tennessee (license number 67761) 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 1710546213.

Contact Information

	Kelsey Ray Bastian, MD
	920 Madison Ave Ste 200, Memphis, TN 38103-3434
	(901) 448-2400
	(901) 302-2420

Map and Direction

Physician's Profile

Full Name	Kelsey Ray Bastian
Gender	Female
Speciality	Psychiatry & Neurology - Psychiatry
Location	920 Madison Ave Ste 200, Memphis, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710546213
Provider Enumeration Date: 06/07/2019
Last Update Date: 03/26/2025

Medicare PECOS Information:

PECOS PAC ID: 8921460247
Enrollment ID: I20230817001787

Medical Identifiers

Medical identifiers for Kelsey Ray Bastian such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710546213	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	67761 (Tennessee)	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. Kelsey Ray Bastian allows following entities to bill medicare on her behalf.

Entity Name	Ut Medical Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780676650 PECOS PAC ID: 3173435369 Enrollment ID: O20031105000384

Entity Name	Baptist Memorial Medical Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306089206 PECOS PAC ID: 5193610228 Enrollment ID: O20040218000385

Entity Name	Tri State Community Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285002634 PECOS PAC ID: 4486955341 Enrollment ID: O20151217001928

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. Kelsey Ray Bastian 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
Kelsey Ray Bastian, MD 1068 Cresthaven Rd Ste 300, Memphis, TN 38119-0809 Ph: (901) 866-8864	Kelsey Ray Bastian, MD 920 Madison Ave Ste 200, Memphis, TN 38103-3434 Ph: (901) 448-2400

Reviews and Comments

Psychiatry & Neurology Doctors in Memphis, TN

Dr. James H Jaster, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 23 South Pauline Street,, Suite 709, Memphis, TN 38104 Phone: 901-577-9467 Fax: 901-362-6618
Dr. Joel Allen Reisman, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 5170 Sanderlin Ave Ste 204, Memphis, TN 38117 Phone: 901-761-2622 Fax: 901-761-2355
Dr. John Pharis, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2150 Whitney Ave, Memphis, TN 38127 Phone: 901-353-5440 Fax: 901-353-5464
Dr. Abdullah Hakoun, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1325 Eastmoreland Ave Ste 101, Memphis, TN 38104 Phone: 901-261-3500 Fax: 901-624-2961
Fred Godwin Thomason, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 5515 Shelby Oaks Dr, Memphis, TN 38134 Phone: 901-252-7718 Fax: 901-252-7680
Lalitha Vaddadi, M.D Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3810 Winchester Rd, Memphis, TN 38118 Phone: 901-369-1420 Fax: 901-369-1433
Nita S Desai, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3000 Getwell Rd, Memphis, TN 38118 Phone: 901-268-8620 Fax: 901-877-7991

Kelsey Ray Bastian, MD - Medicare Psychiatry & Neurology in Memphis, TN