Dr Kelly L Nicholson, PSYD in Castle Rock, CO - Medicare Clinical Psychologist Provider

Dr Kelly L Nicholson, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Castle Rock, Colorado. She graduated from medical school in 2006 and has 18 years of diverse experience with area of expertise as Clinical Psychologist. Her current practice location is 1605 Moonstone Ln, Castle Rock, Colorado. You can reach out to her office (for appointments etc.) via phone at (720) 588-6772.

Dr Kelly L Nicholson is licensed to practice in South Carolina (license number 1340) 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 1043424807.

Contact Information

	Dr Kelly L Nicholson, PSYD
	1605 Moonstone Ln, Castle Rock, CO 80108-7809
	(720) 588-6772
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Kelly L Nicholson
Gender	Female
Speciality	Clinical Psychologist
Experience	18 Years
Location	1605 Moonstone Ln, Castle Rock, Colorado
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:

Dr Kelly L Nicholson graduated from medical school in 2006

NPI Data:

NPI Number: 1043424807
Provider Enumeration Date: 05/10/2007
Last Update Date: 08/21/2015

Medicare PECOS Information:

PECOS PAC ID: 9931239191
Enrollment ID: I20150302001596

Medical Identifiers

Medical identifiers for Dr Kelly L Nicholson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043424807	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	3154 (Colorado)	Secondary
103TC0700X	Psychologist - Clinical	1340 (South Carolina)	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 L Nicholson allows following entities to bill medicare on her behalf.

Entity Name	Kelly L Nicholson Psyd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285001560 PECOS PAC ID: 0547576357 Enrollment ID: O20150824002308

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 L Nicholson 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 L Nicholson, PSYD 22 Redbud Way, Bluffton, SC 29910-5605 Ph: (843) 226-6690	Dr Kelly L Nicholson, PSYD 1605 Moonstone Ln, Castle Rock, CO 80108-7809 Ph: (720) 588-6772

Reviews and Comments

Psychologist in Castle Rock, CO

Dr. Heidi Cover Nahum, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 599 Topeka Way, Suite 300, Castle Rock, CO 80109 Phone: 303-909-5825 Fax: 303-814-1583
Dr. Harry David Corsover, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3545 Golden Spur Loop, Castle Rock, CO 80108 Phone: 303-674-8448 Fax: 303-674-9894
Dr. David Louis Nahum, ED.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 599 Topeka Way Ste 300, Castle Rock, CO 80109 Phone: 303-667-9388 Fax: 303-814-1583
Dr. Denise L Lucia, PHD, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 115 Wilcox St Ste 240, Castle Rock, CO 80104 Phone: 303-945-3775
Adrienne N Doubrava, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 405 S Wilcox St Ste 104, Castle Rock, CO 80104 Phone: 720-323-8634
Mrs. Veronica Ruth Johnson, LPC Psychologist Medicare: Not Enrolled in Medicare Practice Location: 734 Wilcox St., Suite 202, Castle Rock, CO 80104 Phone: 720-935-2663

Dr Kelly L Nicholson, PSYD - Medicare Psychologist in Castle Rock, CO