Dr Kelli L Pellegrini, PSYD - Medicare Psychologist in Canby, OR

Dr Kelli L Pellegrini, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Canby, Oregon. She graduated from medical school in 1999 and has 25 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Cornerstone Clinical Services Pc and her current practice location is 142 Sw 2nd Ave, Canby, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 266-5411.

Dr Kelli L Pellegrini is licensed to practice in Oregon (license number 1436) 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 1477677730.

Contact Information

Dr Kelli L Pellegrini, PSYD
142 Sw 2nd Ave,
Canby, OR 97013-4152
(503) 266-5411
(503) 266-5415



Healthcare Provider's Profile

Full NameDr Kelli L Pellegrini
GenderFemale
SpecialityClinical Psychologist
Experience25 Years
Location142 Sw 2nd Ave, Canby, Oregon
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Kelli L Pellegrini graduated from medical school in 1999
  NPI Data:
  • NPI Number: 1477677730
  • Provider Enumeration Date: 03/19/2007
  • Last Update Date: 02/25/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 9234277435
  • Enrollment ID: I20091109000480

Medical Identifiers

Medical identifiers for Dr Kelli L Pellegrini such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477677730NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 1436 (Oregon)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Cornerstone Clinical Services Pc327452337813

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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 Kelli L Pellegrini allows following entities to bill medicare on her behalf.
Entity NameCornerstone Clinical Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093892895
PECOS PAC ID: 3274523378
Enrollment ID: O20040512000950

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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. Dr Kelli L Pellegrini 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
Dr Kelli L Pellegrini, PSYD
Po Box 682,
Canby, OR 97013

Ph: (503) 266-5411
Dr Kelli L Pellegrini, PSYD
142 Sw 2nd Ave,
Canby, OR 97013-4152

Ph: (503) 266-5411

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Psychologist in Canby, OR

Tara Marie Mcgarry, PSYD
Psychologist
Medicare: Accepting Medicare Assignments
Practice Location: 1433 Se 1st Ave, Canby, OR 97013
Phone: 503-525-7600    

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