Kelly J Pizzitola, PHD - Medicare in North Little Rock, AR

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Kelly J Pizzitola, PHD is a medicare enrolled "Clinical Neuropsychologist" provider in North Little Rock, Arkansas. Her current practice location is 4610 W Commercial Dr, North Little Rock, Arkansas. You can reach out to her office (for appointments etc.) via phone at (501) 287-5229.

Kelly J Pizzitola is licensed to practice in Arkansas (license number 06-39P) 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 1043410608.

Contact Information

Kelly J Pizzitola, PHD
4610 W Commercial Dr,
North Little Rock, AR 72116-7057
(501) 287-5229
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameKelly J Pizzitola
GenderFemale
SpecialityClinical Neuropsychologist
Location4610 W Commercial Dr, North Little Rock, Arkansas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1043410608
  • Provider Enumeration Date: 07/23/2007
  • Last Update Date: 06/11/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 4789777699
  • Enrollment ID: I20070910000237

Medical Identifiers

Medical identifiers for Kelly J Pizzitola such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043410608NPI-NPPES
164708719MedicaidAR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC2200XPsychologist - Clinical Child & Adolescent 34329 (Texas)Secondary
103G00000XClinical Neuropsychologist 06-39P (Arkansas)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. Kelly J Pizzitola allows following entities to bill medicare on her behalf.
Entity NameUniversity Of Arkansas For Medical Sciences
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346230968
PECOS PAC ID: 4082528955
Enrollment ID: O20040115000431
Entity NameConway Counseling & Psychological Services Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528454139
PECOS PAC ID: 4183933781
Enrollment ID: O20151022000370
Entity NameChenal Family Therapy Plc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356604219
PECOS PAC ID: 8325395627
Enrollment ID: O20180718000717

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. Kelly J Pizzitola 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
Kelly J Pizzitola, PHD
1 Childrens Way # 653,
Little Rock, AR 72202-3500

Ph: (501) 364-1100		Kelly J Pizzitola, PHD
4610 W Commercial Dr,
North Little Rock, AR 72116-7057

Ph: (501) 287-5229

Reviews and Comments



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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.