Kelly Williams, PSYD in Paoli, PA - Medicare Psychologist Provider

Kelly Williams, PSYD is a medicare enrolled "Psychologist - Clinical Child & Adolescent" provider in Paoli, Pennsylvania. Her current practice location is 1440 Russell Rd, Paoli, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (610) 644-6464.

Kelly Williams is licensed to practice in Pennsylvania (license number PS016457) 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 1629203435.

Contact Information

	Kelly Williams, PSYD
	1440 Russell Rd, Paoli, PA 19301-1236
	(610) 644-6464
	(610) 644-4066

Map and Direction

Healthcare Provider's Profile

Full Name	Kelly Williams
Gender	Female
Speciality	Psychologist - Clinical Child & Adolescent
Location	1440 Russell Rd, Paoli, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629203435
Provider Enumeration Date: 05/22/2009
Last Update Date: 05/22/2009

Medicare PECOS Information:

PECOS PAC ID: 0345624409
Enrollment ID: I20220908002962

Medical Identifiers

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

Identifier	Type	State	Issuer
1629203435	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC2200X	Psychologist - Clinical Child & Adolescent	PS016457 (Pennsylvania)	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 Williams allows following entities to bill medicare on her behalf.

Entity Name	Childrens Specialty Group Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255354130 PECOS PAC ID: 5890788764 Enrollment ID: O20040406001195

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 Williams 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 Williams, PSYD 1440 Russell Rd, Paoli, PA 19301-1236 Ph: (610) 644-6464	Kelly Williams, PSYD 1440 Russell Rd, Paoli, PA 19301-1236 Ph: (610) 644-6464

Reviews and Comments

Psychologist in Paoli, PA

Louis Bevilacqua, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 1440 Russell Rd, Paoli, PA 19301 Phone: 610-644-6464
Dr. Hailey Bourgeau Chang, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 41 Leopard Rd Ste 304, Paoli, PA 19301 Phone: 610-647-6406
Dr. Esther Susan Schlessinger-mita, P.H.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 171 W Lancaster Ave, Suite 3, Paoli, PA 19301 Phone: 610-594-9808
Dr. Bancroft G Davis, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 30 S Valley Rd, Suite 101, Paoli, PA 19301 Phone: 267-674-6621 Fax: 267-627-6141
Rhona Kaufman, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1440 Russell Rd, Paoli, PA 19301 Phone: 610-644-6464
Kathryn Ee-ling Lou, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 16 Industrial Blvd, Suite 102, Paoli, PA 19301 Phone: 610-695-6315 Fax: 610-695-6319
Virginia Cadle, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1440 Russell Rd, Paoli, PA 19301 Phone: 610-644-6464

Kelly Williams, PSYD - Medicare Psychologist in Paoli, PA