Mary Kathleen D Kelley, RN, LPC is a medicare enrolled "Counselor - Professional" in Annapolis, Maryland. She graduated from nursing school in 2015 and has 11 years of diverse experience with area of expertise as Mental Health Counselor. She is a member of the group practice Arundel Mental Health Professionals Lc and her current practice location is
810 Bestgate Rd Ste 325, Annapolis, Maryland. You can reach out to her office (for appointments etc.) via phone at
(571) 344-4224.
Mary Kathleen D Kelley is licensed to practice in Virginia (license number 0701010214) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1235774696.
Provider's Profile
| Full Name | Mary Kathleen D Kelley |
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| Gender | Female |
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| Speciality | Mental Health Counselor |
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| Experience | 11 Years |
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| Location | 810 Bestgate Rd Ste 325, Annapolis, Maryland |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mary Kathleen D Kelley graduated from nursing school in 2015
NPI Data:
- NPI Number: 1235774696
- Provider Enumeration Date: 11/08/2019
- Last Update Date: 11/04/2024
Medicare PECOS Information:
- PECOS PAC ID: 8224489034
- Enrollment ID: I20240215003752
Medical Identifiers
Medical identifiers for Mary Kathleen D Kelley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1235774696 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 163W00000X | Registered Nurse | 0001152431 (Virginia) | Secondary |
| 101YP2500X | Counselor - Professional | 0701010214 (Virginia) | Primary |
| 101YM0800X | Counselor - Mental Health | 0701010214 (Virginia) | Secondary |
| 101YM0800X | Counselor - Mental Health | LC13328 (Maryland) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Arundel Mental Health Professionals Lc | 4981688173 | 94 |
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. Mary Kathleen D Kelley allows following entities to bill medicare on her behalf.
| Entity Name | Arundel Mental Health Professionals Lc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073649521 PECOS PAC ID: 4981688173 Enrollment ID: O20040615001556 |
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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. Mary Kathleen D Kelley 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 |
Mary Kathleen D Kelley, RN, LPC 810 Bestgate Rd Ste 325, Annapolis, MD 21401-4291 Ph: (703) 831-8300 | Mary Kathleen D Kelley, RN, LPC 810 Bestgate Rd Ste 325, Annapolis, MD 21401-3648 Ph: (571) 344-4224 |
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