Mrs Kelly Burns, PHD is a medicare enrolled "Psychologist - Clinical" provider in Woolwich Township, New Jersey. 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 Neurobehavioral Wellness Center and her current practice location is
1630 Route 322 Unit C, Woolwich Township, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(856) 975-6279.
Mrs Kelly Burns is licensed to practice in New Jersey (license number 35SI00593100) 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 1922398932.
Healthcare Provider's Profile
| Full Name | Mrs Kelly Burns |
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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 | 1630 Route 322 Unit C, Woolwich Township, New Jersey |
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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. |
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Medical Education and Training:
- Mrs Kelly Burns graduated from medical school in 2012
NPI Data:
- NPI Number: 1922398932
- Provider Enumeration Date: 04/11/2011
- Last Update Date: 10/24/2019
Medicare PECOS Information:
- PECOS PAC ID: 1658704135
- Enrollment ID: I20191216000208
Medical Identifiers
Medical identifiers for Mrs Kelly Burns such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1922398932 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC0700X | Psychologist - Clinical | 35SI00593100 (New Jersey) | Primary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 35SI00593100 (New Jersey) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Neurobehavioral Wellness Center | 1052576659 | 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. Mrs Kelly Burns allows following entities to bill medicare on her behalf.
| Entity Name | Neurobehavioral Wellness Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1952665671
PECOS PAC ID: 1052576659
Enrollment ID: O20120705000469 |
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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. Mrs Kelly Burns 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 |
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Mrs Kelly Burns, PHD
1630 Route 322 Unit C,
Woolwich Township, NJ 08085-3701
Ph: (856) 975-6279 | Mrs Kelly Burns, PHD
1630 Route 322 Unit C,
Woolwich Township, NJ 08085-3701
Ph: (856) 975-6279 |
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