Kandis Kelly, LCSWA in Raleigh, NC - Medicare Social Worker Provider

Kandis Kelly, LCSWA is a medicare enrolled "Social Worker - Clinical" provider in Raleigh, North Carolina. Her current practice location is 3401 Carl Sandburg Ct, Raleigh, North Carolina. You can reach out to her office (for appointments etc.) via phone at (919) 987-2792.

Kandis Kelly is licensed to practice in North Carolina (license number P009671) 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 1407217011.

Contact Information

	Kandis Kelly, LCSWA
	3401 Carl Sandburg Ct, Raleigh, NC 27610-2049
	(919) 987-2792
	(919) 212-8581

Map and Direction

Healthcare Provider's Profile

Full Name	Kandis Kelly
Gender	Female
Speciality	Social Worker - Clinical
Location	3401 Carl Sandburg Ct, Raleigh, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407217011
Provider Enumeration Date: 03/09/2016
Last Update Date: 03/09/2016

Medicare PECOS Information:

PECOS PAC ID: 3072862838
Enrollment ID: I20180828001528

Medical Identifiers

Medical identifiers for Kandis Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407217011	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	P009671 (North Carolina)	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. Kandis Kelly allows following entities to bill medicare on her behalf.

Entity Name	University Of North Carolina At Chapel Hill
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780669200 PECOS PAC ID: 0648181156 Enrollment ID: O20031105000359

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. Kandis 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
Kandis Kelly, LCSWA 3401 Carl Sandburg Ct, Raleigh, NC 27610-2049 Ph: (919) 987-2792	Kandis Kelly, LCSWA 3401 Carl Sandburg Ct, Raleigh, NC 27610-2049 Ph: (919) 987-2792

Reviews and Comments

Social Worker in Raleigh, NC

Ms. Tonya R Gable, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3000 New Bern Ave, Raleigh, NC 27610 Phone: 919-350-4163 Fax: 919-350-8509
Ms. Holly H Head, P-LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3000 New Bern Ave, Raleigh, NC 27610 Phone: 919-350-7445 Fax: 919-350-8509
Carol D Kassey, MSW. LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5850 Faringdon Pl, Raleigh, NC 27609 Phone: 919-872-9974 Fax: 919-872-9975
Miss Kimberly G. Kueny, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1001 Navaho Dr, Suite 210, Raleigh, NC 27609 Phone: 919-872-1178 Fax: 919-872-1170
Casey Paganucci, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8105 Fayetteville Rd, Suite 121-2038, Raleigh, NC 27603 Phone: 919-364-5386
Amy Lynn Bryan, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4000 Wake Forest Rd, Suite 200, Raleigh, NC 27609 Phone: 919-865-8710
Miss Darnesha Coleman, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3125 Poplarwood Ct Ste 300, Raleigh, NC 27604 Phone: 919-790-8580

Kandis Kelly, LCSWA - Medicare Clinical Social Worker in Raleigh, NC