Dr Kelli L Pellegrini, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Canby, Oregon. She graduated from medical school in 1999 and has 25 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Cornerstone Clinical Services Pc and her current practice location is
142 Sw 2nd Ave, Canby, Oregon. You can reach out to her office (for appointments etc.) via phone at
(503) 266-5411.
Dr Kelli L Pellegrini is licensed to practice in Oregon (license number 1436) 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 1477677730.
Healthcare Provider's Profile
| Full Name | Dr Kelli L Pellegrini |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 25 Years |
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| Location | 142 Sw 2nd Ave, Canby, Oregon |
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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. |
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Medical Education and Training:
- Dr Kelli L Pellegrini graduated from medical school in 1999
NPI Data:
- NPI Number: 1477677730
- Provider Enumeration Date: 03/19/2007
- Last Update Date: 02/25/2008
Medicare PECOS Information:
- PECOS PAC ID: 9234277435
- Enrollment ID: I20091109000480
Medical Identifiers
Medical identifiers for Dr Kelli L Pellegrini such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1477677730 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC0700X | Psychologist - Clinical | 1436 (Oregon) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Cornerstone Clinical Services Pc | 3274523378 | 13 |
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 Kelli L Pellegrini allows following entities to bill medicare on her behalf.
| Entity Name | Cornerstone Clinical Services Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093892895
PECOS PAC ID: 3274523378
Enrollment ID: O20040512000950 |
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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 Kelli L Pellegrini 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 |
|---|
Dr Kelli L Pellegrini, PSYD
Po Box 682,
Canby, OR 97013
Ph: (503) 266-5411 | Dr Kelli L Pellegrini, PSYD
142 Sw 2nd Ave,
Canby, OR 97013-4152
Ph: (503) 266-5411 |
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