Kimberly Kelly, PSYD in Traverse City, MI - Medicare Clinical Psychologist Provider

Kimberly Kelly, PSYD is a medicare enrolled "Psychologist" provider in Traverse City, Michigan. She graduated from medical school in 2004 and has 21 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Bay Area Counseling, Llc and her current practice location is 3180 Racquet Club Dr Ste G, Traverse City, Michigan. You can reach out to her office (for appointments etc.) via phone at (231) 933-4009.

Kimberly Kelly is licensed to practice in * (Not Available) (license number ) 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 1447479290.

Contact Information

	Kimberly Kelly, PSYD
	3180 Racquet Club Dr Ste G, Traverse City, MI 49684-4797
	(231) 933-4009
	(231) 933-4032

Map and Direction

Healthcare Provider's Profile

Full Name	Kimberly Kelly
Gender	Female
Speciality	Clinical Psychologist
Experience	21 Years
Location	3180 Racquet Club Dr Ste G, Traverse City, Michigan
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:

Kimberly Kelly graduated from medical school in 2004

NPI Data:

NPI Number: 1447479290
Provider Enumeration Date: 04/24/2007
Last Update Date: 01/08/2020

Medicare PECOS Information:

PECOS PAC ID: 5799837639
Enrollment ID: I20090723000411

Medical Identifiers

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

Identifier	Type	State	Issuer
1447479290	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	(* (Not Available))	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Bay Area Counseling, Llc	2466440383	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. Kimberly Kelly allows following entities to bill medicare on her behalf.

Entity Name	Bay Area Counseling, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902947088 PECOS PAC ID: 2466440383 Enrollment ID: O20090812000245

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. Kimberly 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
Kimberly Kelly, PSYD Po Box 2257, Chesterton, IN 46304-0357 Ph: (219) 926-8320	Kimberly Kelly, PSYD 3180 Racquet Club Dr Ste G, Traverse City, MI 49684-4797 Ph: (231) 933-4009

Reviews and Comments

Psychologist in Traverse City, MI

Arthur M Newhouse, MA LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 105 Hall St, Suite A, Traverse City, MI 49684 Phone: 231-922-4850 Fax: 231-935-3856
Jill L Platte, MS, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 105 Hall Street, Suite A, Traverse City, MI 49684 Phone: 231-922-4850 Fax: 231-935-3856
Kayla Rae Wojda, PYSD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 880 Munson Ave Ste E, Traverse City, MI 49686 Phone: 989-657-5779
Dr. Terence Lee Bradley, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3926 Village Circle Dr, Traverse City, MI 49686 Phone: 231-938-5900
Quentin Paul Kuntz, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2226 S. Airport Rd. West, Suite A, Traverse City, MI 49684 Phone: 231-947-2442 Fax: 231-947-2446
Kathleen Wong Seitz, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 921 West 11th St, Ste 1e, Traverse City, MI 49684 Phone: 231-946-6599
Kristen Ryder, SSP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 12935 S West Bay Shore Dr Ste 320, Traverse City, MI 49684 Phone: 231-268-0208

Kimberly Kelly, PSYD - Medicare Psychologist in Traverse City, MI