Jeremy Maclaren Kelly, PHD in Pittsford, NY - Medicare Psychologist Provider

Jeremy Maclaren Kelly, PHD is a medicare enrolled "Psychologist - Clinical" provider in Pittsford, New York. His current practice location is 179 Sullys Trl Ste 200, Pittsford, New York. You can reach out to his office (for appointments etc.) via phone at (585) 276-6900.

Jeremy Maclaren Kelly is licensed to practice in New York (license number 024880-01) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1548825078.

Contact Information

	Jeremy Maclaren Kelly, PHD
	179 Sullys Trl Ste 200, Pittsford, NY 14534-4500
	(585) 276-6900
	(585) 273-1066

Map and Direction

Healthcare Provider's Profile

Full Name	Jeremy Maclaren Kelly
Gender	Male
Speciality	Psychologist - Clinical
Location	179 Sullys Trl Ste 200, Pittsford, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548825078
Provider Enumeration Date: 05/09/2019
Last Update Date: 03/21/2025

Medicare PECOS Information:

PECOS PAC ID: 9133596448
Enrollment ID: I20221028002737

Medical Identifiers

Medical identifiers for Jeremy Maclaren Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548825078	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	24880 (New York)	Secondary
103TC0700X	Psychologist - Clinical	024880-01 (New York)	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. Jeremy Maclaren Kelly allows following entities to bill medicare on his behalf.

Entity Name	University Of Rochester Department Of Psychiatry Clinical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326088808 PECOS PAC ID: 3173420429 Enrollment ID: O20031216000276

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. Jeremy Maclaren Kelly 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
Jeremy Maclaren Kelly, PHD 300 Crittenden Blvd Box Psych, Rochester, NY 14642-0001 Ph: (585) 276-6900	Jeremy Maclaren Kelly, PHD 179 Sullys Trl Ste 200, Pittsford, NY 14534-4500 Ph: (585) 276-6900

Reviews and Comments

Psychologist in Pittsford, NY

Dr. Mark Gregory Brogan, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 40a Grove St # A, Pittsford, NY 14534 Phone: 585-234-9494 Fax: 585-383-0820
Dr. Jane E. Runion, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 10 Office Park Way, Pittsford, NY 14534 Phone: 585-383-1040 Fax: 585-586-5512
Dr. Mary E. Olsen-lanzafame, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 121 Sullys Trl, Suite 5, Pittsford, NY 14534 Phone: 585-732-5310 Fax: 585-495-2146
Dr. Nicholas Holub, PSYD, MSW Psychologist Medicare: Medicare Enrolled Practice Location: 30 Office Park Way Ste 1, Pittsford, NY 14534 Phone: 585-673-2002 Fax: 585-203-1927
Dr. Marcy Ann Bush, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: One Lookwood Drive, Suite 100, Pittsford, NY 14534 Phone: 585-383-0030 Fax: 585-383-1858
Dr. James David Kestenbaum, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 29 Cambric Cir, Pittsford, NY 14534 Phone: 585-507-9908
Linda Mccabe, PYSD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4 Westin Ct, Pittsford, NY 14534 Phone: 415-335-2596

Jeremy Maclaren Kelly, PHD - Medicare Psychologist in Pittsford, NY