Justine Sever Chilelli, DO - Medicare Psychiatry & Neurology in Lakeside Park, KY

Justine Sever Chilelli, DO is a medicare enrolled "Psychiatry & Neurology - Child & Adolescent Psychiatry" physician in Lakeside Park, Kentucky. Her current practice location is 2128 Chamber Center Dr., Lakeside Park, Kentucky. You can reach out to her office (for appointments etc.) via phone at (859) 331-6525.

Justine Sever Chilelli is licensed to practice in Kentucky (license number 04202) 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 1144549585.

Contact Information

Justine Sever Chilelli, DO
2128 Chamber Center Dr.,
Lakeside Park, KY 41017
(859) 331-6525
(859) 331-6526



Physician's Profile

Full NameJustine Sever Chilelli
GenderFemale
SpecialityPsychiatry & Neurology - Child & Adolescent Psychiatry
Location2128 Chamber Center Dr., Lakeside Park, Kentucky
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1144549585
  • Provider Enumeration Date: 05/25/2010
  • Last Update Date: 08/10/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 3971759598
  • Enrollment ID: I20240306003151

Medical Identifiers

Medical identifiers for Justine Sever Chilelli such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144549585NPI-NPPES
7100464370MedicaidKY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry OS11580 (Florida)Secondary
2084P0800XPsychiatry & Neurology - Psychiatry 04202 (Kentucky)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
2084P0804XPsychiatry & Neurology - Child & Adolescent Psychiatry 04202 (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. Justine Sever Chilelli allows following entities to bill medicare on her behalf.
Entity NameTms Therapy Partners
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538705280
PECOS PAC ID: 8729409040
Enrollment ID: O20200521003000

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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. Justine Sever Chilelli 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 AddressPractice Location Address
Justine Sever Chilelli, DO
2128 Chamber Center Dr.,
Lakeside Park, KY 41017

Ph: (859) 331-6525
Justine Sever Chilelli, DO
2128 Chamber Center Dr.,
Lakeside Park, KY 41017

Ph: (859) 331-6525

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Psychiatry & Neurology Doctors in Lakeside Park, KY


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