Dr Kelly Lynn Pearce, PHD is a medicare enrolled "Clinical Neuropsychologist" provider in Missoula, Montana. Her current practice location is
1622 South Ave W, Missoula, Montana. You can reach out to her office (for appointments etc.) via phone at
(406) 543-9700.
Dr Kelly Lynn Pearce is licensed to practice in Montana (license number PSY-PSY-LIC-1734) 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 1780809020.
Healthcare Provider's Profile
| Full Name | Dr Kelly Lynn Pearce |
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| Gender | Female |
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| Speciality | Clinical Neuropsychologist |
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| Location | 1622 South Ave W, Missoula, Montana |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1780809020
- Provider Enumeration Date: 04/13/2007
- Last Update Date: 10/17/2024
Medicare PECOS Information:
- PECOS PAC ID: 7719281807
- Enrollment ID: I20160210001750
Medical Identifiers
Medical identifiers for Dr Kelly Lynn Pearce such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1780809020 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 103TC0700X | Psychologist - Clinical | PSY-PSY-LIC-1734 (Montana) | Secondary |
| 103G00000X | Clinical Neuropsychologist | PSY-PSY-LIC-1734 (Montana) | Primary |
| 103T00000X | Psychologist | PSY-PSY-LIC-1734 (Montana) | Secondary |
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 Lynn Pearce allows following entities to bill medicare on her behalf.
| Entity Name | Montana Neuropsychological Associates Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1417318023 PECOS PAC ID: 5890084883 Enrollment ID: O20160513001741 |
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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 Lynn Pearce 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 Lynn Pearce, PHD 1622 South Ave W, Missoula, MT 59801-7804 Ph: (406) 543-9700 | Dr Kelly Lynn Pearce, PHD 1622 South Ave W, Missoula, MT 59801-7804 Ph: (406) 543-9700 |
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