Tamisha Kelly, PMHNP - Medicare Nurse Practitioner in Valley Stream, NY

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Tamisha Kelly, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Valley Stream, New York. Her current practice location is 873 Balfour St, Valley Stream, New York. You can reach out to her office (for appointments etc.) via phone at (917) 449-7395.

Tamisha Kelly is licensed to practice in New York (license number 403636) 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 1487073821.

Contact Information

Tamisha Kelly, PMHNP
873 Balfour St,
Valley Stream, NY 11580-1524
(917) 449-7395
Not Available

Map and Direction




Provider's Profile

Full NameTamisha Kelly
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location873 Balfour St, Valley Stream, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1487073821
  • Provider Enumeration Date: 04/14/2014
  • Last Update Date: 11/10/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2365983640
  • Enrollment ID: I20240926002504

Medical Identifiers

Medical identifiers for Tamisha Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487073821NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 655257-1 (New York)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 403636 (New York)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. Tamisha Kelly allows following entities to bill medicare on her behalf.
Entity NamePsychiatric Nurse Practitioner Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518595727
PECOS PAC ID: 6901221795
Enrollment ID: O20200811001572
Entity NameSr Medical Services Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063119543
PECOS PAC ID: 2668832379
Enrollment ID: O20230713000483

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. Tamisha Kelly 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 AddressPractice Location Address
Tamisha Kelly, PMHNP
873 Balfour St,
Valley Stream, NY 11580-1524

Ph: (917) 449-7395		Tamisha Kelly, PMHNP
873 Balfour St,
Valley Stream, NY 11580-1524

Ph: (917) 449-7395

Reviews and Comments


Nurse Practitioner Nurses in Valley Stream, NY

Ms. Abimbola Jaiyesimi, NP
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Medicare: Accepting Medicare Assignments
Practice Location: 260 W Sunrise Hwy Ste 200, Valley Stream, NY 11581
Phone: 516-825-3600    Fax: 516-872-5137
Taylor Marie Raia, FNP
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Medicare: Medicare Enrolled
Practice Location: 260 W Sunrise Hwy Fl 3, Valley Stream, NY 11581
Phone: 516-336-5255    
Claridge Henriquez,
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Practice Location: 20 Thompson St, Valley Stream, NY 11580
Phone: 347-968-8015    
Eytan Israelov, FNP
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Practice Location: 904 Oak Ln, Valley Stream, NY 11581
Phone: 718-200-9275    
Elana Deutscher, NP
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Medicare: Medicare Enrolled
Practice Location: 718 Hungry Harbor Rd, Valley Stream, NY 11581
Phone: 917-349-6395    
Kemesha Scott-denehy, ANP-BC
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Medicare: Medicare Enrolled
Practice Location: 42 Rose Ave, Valley Stream, NY 11580
Phone: 516-837-0415    
Ms. Janice Campbell-brewster, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 260 W Sunrise Hwy, Valley Stream, NY 11581
Phone: 631-751-3000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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