Jerry S Kelly, LCSW-R - Medicare Clinical Social Worker in Cheektowaga, NY

Jerry S Kelly, LCSW-R is a medicare enrolled "Social Worker - Clinical" provider in Cheektowaga, New York. He graduated from medical school in 1988 and has 36 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Suburban Psychiatric Associates, Llp and his current practice location is 3719 Union Rd, Cheektowaga, New York. You can reach out to his office (for appointments etc.) via phone at (716) 681-7394.

Jerry S Kelly is licensed to practice in New York (license number 00003961) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1962559278.

Contact Information

Jerry S Kelly, LCSW-R
3719 Union Rd,
Cheektowaga, NY 14225-4249
(716) 681-7394
(716) 685-9087

Map and Direction




Healthcare Provider's Profile

Full NameJerry S Kelly
GenderMale
SpecialityClinical Social Worker
Experience36 Years
Location3719 Union Rd, Cheektowaga, New York
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jerry S Kelly graduated from medical school in 1988
  NPI Data:
  • NPI Number: 1962559278
  • Provider Enumeration Date: 01/05/2007
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 7719101203
  • Enrollment ID: I20140625000121

Medical Identifiers

Medical identifiers for Jerry S Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962559278NPI-NPPES
00030241501OtherNYUNIVERA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 00003961 (New York)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Suburban Psychiatric Associates, Llp670977431835

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. Jerry S Kelly allows following entities to bill medicare on his behalf.
Entity NameSuburban Psychiatric Associates, Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851331367
PECOS PAC ID: 6709774318
Enrollment ID: O20040305000880

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. Jerry S 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 AddressPractice Location Address
Jerry S Kelly, LCSW-R
525 Washington St,
Buffalo, NY 14203-1711

Ph: (716) 856-4494
Jerry S Kelly, LCSW-R
3719 Union Rd,
Cheektowaga, NY 14225-4249

Ph: (716) 681-7394

Reviews and Comments


Social Worker in Cheektowaga, NY

Susan Strait,
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 301 Cayuga Rd, Cheektowaga, NY 14225
Phone: 716-819-3420    Fax: 716-819-3430
Mr. John J. Flynn, LCSWR
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 1526 Walden Avenue, Suite 400, Cheektowaga, NY 14225
Phone: 716-895-6700    Fax: 716-896-0318
Mrs. Jennifer Marie Cervi,
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 2563 Union Rd, Cheektowaga, NY 14227
Phone: 716-668-7622    Fax: 716-668-7623
Courtney Wilson,
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 2563 Union Rd Ste 800, Cheektowaga, NY 14227
Phone: 716-668-7622    
Christina Polino,
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 1526 Walden Ave, Suite 400, Cheektowaga, NY 14225
Phone: 716-895-6700    
Brian Wojcik, LCSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 3901 Genesee St, Cheektowaga, NY 14225
Phone: 716-335-7015    
Lydia Moore, LCSW-R
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 337 Cleveland Dr Ste 6, Cheektowaga, NY 14215
Phone: 716-220-7155    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.