Lisa Kelley, is a medicare enrolled "Psychologist - School" provider in Bexley, Ohio. She graduated from medical school in 2004 and has 21 years of diverse experience with area of expertise as Mental Health Counselor. Her current practice location is
466 N Cassady Ave, Bexley, Ohio. You can reach out to her office (for appointments etc.) via phone at
(614) 371-7293.
Lisa Kelley is licensed to practice in Ohio (license number SP00703) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1376230284.
Healthcare Provider's Profile
| Full Name | Lisa Kelley |
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| Gender | Female |
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| Speciality | Mental Health Counselor |
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| Experience | 21 Years |
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| Location | 466 N Cassady Ave, Bexley, Ohio |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Lisa Kelley graduated from medical school in 2004
NPI Data:
- NPI Number: 1376230284
- Provider Enumeration Date: 04/20/2023
- Last Update Date: 04/09/2025
Medicare PECOS Information:
- PECOS PAC ID: 4183149461
- Enrollment ID: I20250421001680
Medical Identifiers
Medical identifiers for Lisa Kelley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1376230284 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 103TS0200X | Psychologist - School | SP.00703 (Ohio) | Secondary |
| 103TS0200X | Psychologist - School | SP00703 (Ohio) | Primary |
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. Lisa Kelley 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 |
Lisa Kelley, 466 N Cassady Ave, Bexley, OH 43209-1027 Ph: (614) 371-3632 | Lisa Kelley, 466 N Cassady Ave, Bexley, OH 43209-1027 Ph: (614) 371-7293 |
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