Dr Sonya Maria Kelly, PHD in Santa Rosa, CA - Medicare Psychologist Provider

Dr Sonya Maria Kelly, PHD is a medicare enrolled "Psychologist" provider in Santa Rosa, California. Her current practice location is 3558 Round Barn Blvd, Suite 200, Santa Rosa, California. You can reach out to her office (for appointments etc.) via phone at (707) 292-6714.

Dr Sonya Maria Kelly is licensed to practice in California (license number PSY17700) 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 1821402132.

Contact Information

	Dr Sonya Maria Kelly, PHD
	3558 Round Barn Blvd, Suite 200, Santa Rosa, CA 95403
	(707) 292-6714
	(707) 664-9626

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Sonya Maria Kelly
Gender	Female
Speciality	Psychologist
Location	3558 Round Barn Blvd, Suite 200, Santa Rosa, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1821402132
Provider Enumeration Date: 06/13/2014
Last Update Date: 12/07/2018

Medicare PECOS Information:

PECOS PAC ID: 8426031105
Enrollment ID: I20040611001499

Medical Identifiers

Medical identifiers for Dr Sonya Maria Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821402132	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	PSY17700 (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. Dr Sonya Maria Kelly allows following entities to bill medicare on her behalf.

Entity Name	Sud Specialty Group - Ca
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972138238 PECOS PAC ID: 9537534177 Enrollment ID: O20230412001370

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. Dr Sonya Maria 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
Dr Sonya Maria Kelly, PHD P.o. Box 156, Cotati, CA 94931 Ph: (707) 321-6997	Dr Sonya Maria Kelly, PHD 3558 Round Barn Blvd, Suite 200, Santa Rosa, CA 95403 Ph: (707) 292-6714

Reviews and Comments

Psychologist in Santa Rosa, CA

Dr. Andrew M Leeds, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1049 4th St Ste G, Santa Rosa, CA 95404 Phone: 707-579-9457 Fax: 707-579-4515
Dr. Cynthia Carole Berman, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-571-3722
James Fisher Taylor, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-571-3720
Sara Joslyn, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 825 College Ave, Santa Rosa, CA 95404 Phone: 707-545-2426
Mrs. Pamela A Boaz, PHD MFT Psychologist Medicare: Not Enrolled in Medicare Practice Location: 659 Cherry St, Santa Rosa, CA 95404 Phone: 707-526-8300 Fax: 707-526-8310
Edward A Biery, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1144 Sonoma Ave, Ste 104, Santa Rosa, CA 95405 Phone: 707-595-8680
Dr. Deborah Lynn Chiddix, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 434 Earle St, Santa Rosa, CA 95404 Phone: 707-696-6620

Dr Sonya Maria Kelly, PHD - Medicare Psychologist in Santa Rosa, CA