Kelly L Crenshaw, PSYD is a medicare enrolled "Clinical Neuropsychologist" provider in Bellingham, Washington. She graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Cascade Neuropsychology, Pllc and her current practice location is
12 Bellwether Way Ste 240, Bellingham, Washington. You can reach out to her office (for appointments etc.) via phone at
(360) 588-2500.
Kelly L Crenshaw is licensed to practice in Washington (license number PY60885078) 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 1649694662.
Healthcare Provider's Profile
Full Name | Kelly L Crenshaw |
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Gender | Female |
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Speciality | Clinical Psychologist |
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Experience | 12 Years |
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Location | 12 Bellwether Way Ste 240, Bellingham, Washington |
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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:
- Kelly L Crenshaw graduated from medical school in 2012
NPI Data:
- NPI Number: 1649694662
- Provider Enumeration Date: 02/11/2014
- Last Update Date: 11/18/2021
Medicare PECOS Information:
- PECOS PAC ID: 6709000615
- Enrollment ID: I20210104001987
Medical Identifiers
Medical identifiers for Kelly L Crenshaw such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1649694662 | NPI | - | NPPES |
PY60885078 | Other | WA | DEPARTMENT OF HEALTH |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TA0700X | Psychologist - Adult Development & Aging | 36685 (Texas) | Secondary |
103TA0700X | Psychologist - Adult Development & Aging | PY60885078 (Washington) | Secondary |
103TB0200X | Psychologist - Cognitive & Behavioral | 36685 (Texas) | Secondary |
103TB0200X | Psychologist - Cognitive & Behavioral | PY60885078 (Washington) | Secondary |
103TC0700X | Psychologist - Clinical | 36685 (Texas) | Secondary |
103TC0700X | Psychologist - Clinical | PY60885078 (Washington) | Secondary |
103G00000X | Clinical Neuropsychologist | PY60885078 (Washington) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Cascade Neuropsychology, Pllc | 2961767512 | 3 |
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 L Crenshaw allows following entities to bill medicare on her behalf.
Entity Name | Cascade Neuropsychology, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1871099937 PECOS PAC ID: 2961767512 Enrollment ID: O20201229001925 |
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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. Kelly L Crenshaw 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 |
Kelly L Crenshaw, PSYD 12 Bellwether Way Ste 240, Bellingham, WA 98225-2959 Ph: (360) 588-2500 | Kelly L Crenshaw, PSYD 12 Bellwether Way Ste 240, Bellingham, WA 98225-2959 Ph: (360) 588-2500 |
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