Ms Kelly S Gauble, PHD in Lexington, KY - Medicare Psychologist Provider

Ms Kelly S Gauble, PHD is a medicare enrolled "Psychologist - Clinical" provider in Lexington, Kentucky. Her current practice location is 1351 Newtown Pike, Lexington, Kentucky. You can reach out to her office (for appointments etc.) via phone at (859) 253-1686.

Ms Kelly S Gauble is licensed to practice in Kentucky (license number 201124) 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 1316140601.

Contact Information

	Ms Kelly S Gauble, PHD
	1351 Newtown Pike, Lexington, KY 40511-1275
	(859) 253-1686
	(859) 254-2743

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Kelly S Gauble
Gender	Female
Speciality	Psychologist - Clinical
Location	1351 Newtown Pike, Lexington, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316140601
Provider Enumeration Date: 06/06/2007
Last Update Date: 12/28/2022

Medicare PECOS Information:

PECOS PAC ID: 5496932501
Enrollment ID: I20120807000061

Medical Identifiers

Medical identifiers for Ms Kelly S Gauble such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316140601	NPI	-	NPPES
1790731081	Medicaid	KY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	201124 (Kentucky)	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. Ms Kelly S Gauble allows following entities to bill medicare on her behalf.

Entity Name	New Vista Of The Bluegrass Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790731081 PECOS PAC ID: 6608773619 Enrollment ID: O20031217000869

Entity Name	Access Wellness Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437449451 PECOS PAC ID: 2668630641 Enrollment ID: O20120222000338

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. Ms Kelly S Gauble 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
Ms Kelly S Gauble, PHD 1351 Newtown Pike, Lexington, KY 40511-1275 Ph: (859) 253-1686	Ms Kelly S Gauble, PHD 1351 Newtown Pike, Lexington, KY 40511-1275 Ph: (859) 253-1686

Reviews and Comments

Psychologist in Lexington, KY

Mark A Etscheidt, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 740 S Limestone, Lexington, KY 40536 Phone: 859-323-5956
Mr. James M Moughan, CPSYAF Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1351 Newtown Pike, Lexington, KY 40511 Phone: 859-253-1686 Fax: 859-254-2743
Mary Beth Morgan, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1000 Monarch St, #250, Lexington, KY 40513 Phone: 859-296-3141 Fax: 859-296-3144
Dr. Stephanie T. Judge, PH.D. Psychologist Medicare: May Accept Medicare Assignments Practice Location: 2220 Young Dr, Lexington, KY 40505 Phone: 859-277-1008 Fax: 859-277-1083
Steven Joseph Mangine, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 261 Regency Cir, Suite 3, Lexington, KY 40503 Phone: 859-277-2844
Amanda L Crabtree, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1351 Newtown Pike, Lexington, KY 40511 Phone: 859-253-1686
Mrs. Kari Hall Jones, PSY. D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1030 Monarch St, Ste 100, Lexington, KY 40513 Phone: 859-296-3141 Fax: 859-554-5200

Ms Kelly S Gauble, PHD - Medicare Psychologist in Lexington, KY