Dr Kelly Ann Schmidt, PHD is a medicare enrolled "Psychologist - Clinical" provider in Ellington, Connecticut. She graduated from medical school in 2010 and has 16 years of diverse experience with area of expertise as Clinical Psychologist. Her current practice location is
16 Main St, Ellington, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(860) 871-5402.
Dr Kelly Ann Schmidt is licensed to practice in Connecticut (license number 002411) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1073828117.
Healthcare Provider's Profile
| Full Name | Dr Kelly Ann Schmidt |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 16 Years |
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| Location | 16 Main St, Ellington, Connecticut |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Kelly Ann Schmidt graduated from medical school in 2010
NPI Data:
- NPI Number: 1073828117
- Provider Enumeration Date: 08/12/2010
- Last Update Date: 08/28/2024
Medicare PECOS Information:
- PECOS PAC ID: 2365637014
- Enrollment ID: I20101108001444
Medical Identifiers
Medical identifiers for Dr Kelly Ann Schmidt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1073828117 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 103TC0700X | Psychologist - Clinical | 002411 (Connecticut) | 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 Ann Schmidt allows following entities to bill medicare on her behalf.
| Entity Name | Waire Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1871744243 PECOS PAC ID: 4183782360 Enrollment ID: O20081016000105 |
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| Entity Name | Kelly A Schmidt Phd Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1104653344 PECOS PAC ID: 4789105370 Enrollment ID: O20250312000693 |
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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 Ann Schmidt 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 Kelly Ann Schmidt, PHD 182 Waverly St, Cheshire, CT 06410-2516 Ph: (860) 402-8020 | Dr Kelly Ann Schmidt, PHD 16 Main St, Ellington, CT 06029-3360 Ph: (860) 871-5402 |
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