Kristina Kelsey, - Medicare Speech-Language Pathologist in Allendale, IL

Kristina Kelsey, is a medicare enrolled "Speech-language Pathologist" provider in Allendale, Illinois. Her current practice location is 12898 N 2020 Blvd, Allendale, Illinois. You can reach out to her office (for appointments etc.) via phone at (161) 820-3613.

Kristina Kelsey is licensed to practice in Illinois (license number 146007689) 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 1972977064.

Contact Information

Kristina Kelsey,
12898 N 2020 Blvd,
Allendale, IL 62410-2014
(161) 820-3613
Not Available



Healthcare Provider's Profile

Full NameKristina Kelsey
GenderFemale
SpecialitySpeech-language Pathologist
Location12898 N 2020 Blvd, Allendale, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1972977064
  • Provider Enumeration Date: 11/30/2015
  • Last Update Date: 11/30/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 7719352103
  • Enrollment ID: I20230418000646

Medical Identifiers

Medical identifiers for Kristina Kelsey such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1972977064NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
235Z00000XSpeech-language Pathologist 146007689 (Illinois)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. Kristina Kelsey allows following entities to bill medicare on her behalf.
Provider NameEmpowerme Rehabilitation Illinois Llc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1679098263
PECOS PAC ID: 2365718277
Enrollment ID: O20171020001353

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Provider NameEmpowerme Wellness Kansas City Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1174118103
PECOS PAC ID: 9830504836
Enrollment ID: O20210317001954

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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. Kristina Kelsey 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
Kristina Kelsey,
12898 N 2020 Blvd,
Allendale, IL 62410-2014

Ph: (161) 820-3613
Kristina Kelsey,
12898 N 2020 Blvd,
Allendale, IL 62410-2014

Ph: (161) 820-3613

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› Verified 7 days ago


Speech-Language Pathologist in Allendale, IL


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