Dr Kelly Alyce Houston, DNP, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Florence, New Jersey. Her current practice location is
400 Broad St, 207 (box), Florence, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(609) 937-2773.
Dr Kelly Alyce Houston is licensed to practice in New Jersey (license number 26NJ01465200) 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 1275103665.
Provider's Profile
| Full Name | Dr Kelly Alyce Houston |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Psychiatric/mental Health |
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| Location | 400 Broad St, Florence, New Jersey |
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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: 1275103665
- Provider Enumeration Date: 06/28/2021
- Last Update Date: 04/17/2023
Medicare PECOS Information:
- PECOS PAC ID: 2961862024
- Enrollment ID: I20230720002603
Medical Identifiers
Medical identifiers for Dr Kelly Alyce Houston such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1275103665 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 26NJ01465200 (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. Dr Kelly Alyce Houston allows following entities to bill medicare on her behalf.
| Entity Name | Center For Family Guidance Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1508803388
PECOS PAC ID: 2860396454
Enrollment ID: O20031125000323 |
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| Entity Name | Centerpath Wellness Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1962459552
PECOS PAC ID: 0042368136
Enrollment ID: O20090429000330 |
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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. Dr Kelly Alyce Houston 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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Dr Kelly Alyce Houston, DNP, PMHNP-BC
Po Box 207,
Florence, NJ 08518-0207
Ph: (609) 937-2773 | Dr Kelly Alyce Houston, DNP, PMHNP-BC
400 Broad St, 207 (box),
Florence, NJ 08518-4033
Ph: (609) 937-2773 |
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