Natalie Kelly, PHD is a medicare enrolled "Clinical Neuropsychologist" provider in Claremont, California. Her current practice location is
1420 N Claremont Blvd Ste 209c, Claremont, California. You can reach out to her office (for appointments etc.) via phone at
(909) 258-4943.
Natalie Kelly is licensed to practice in California (license number PSY24009) 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 1457533044.
Healthcare Provider's Profile
| Full Name | Natalie Kelly |
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| Gender | Female |
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| Speciality | Clinical Neuropsychologist |
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| Location | 1420 N Claremont Blvd Ste 209c, Claremont, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1457533044
- Provider Enumeration Date: 12/05/2007
- Last Update Date: 08/08/2024
Medicare PECOS Information:
- PECOS PAC ID: 0244413250
- Enrollment ID: I20110329000924
Medical Identifiers
Medical identifiers for Natalie Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1457533044 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 103TC0700X | Psychologist - Clinical | PSY24009 (California) | Secondary |
| 103G00000X | Clinical Neuropsychologist | PSY24009 (California) | 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. Natalie Kelly allows following entities to bill medicare on her behalf.
| Entity Name | City Of Hope Medical Foundation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1871886366 PECOS PAC ID: 3779751656 Enrollment ID: O20110720000244 |
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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. Natalie 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 |
Natalie Kelly, PHD 1420 N Claremont Blvd Ste 209c, Claremont, CA 91711-3528 Ph: (909) 258-4943 | Natalie Kelly, PHD 1420 N Claremont Blvd Ste 209c, Claremont, CA 91711-3528 Ph: (909) 258-4943 |
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