Kelley Jean Grover, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Etna, Maine. Her current practice location is
540 Old County Rd, Etna, Maine. You can reach out to her office (for appointments etc.) via phone at
(207) 577-1646.
Kelley Jean Grover is licensed to practice in Maine (license number LC11550) 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 1669531828.
Healthcare Provider's Profile
Full Name | Kelley Jean Grover |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 540 Old County Rd, Etna, Maine |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1669531828
- Provider Enumeration Date: 12/06/2006
- Last Update Date: 01/09/2020
Medicare PECOS Information:
- PECOS PAC ID: 9537308127
- Enrollment ID: I20130611000447
Medical Identifiers
Medical identifiers for Kelley Jean Grover such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1669531828 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | LC11550 (Maine) | 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. Kelley Jean Grover allows following entities to bill medicare on her behalf.
Entity Name | Kennebec Valley Mental Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1679504864 PECOS PAC ID: 7113829383 Enrollment ID: O20040127000419 |
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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. Kelley Jean Grover 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 |
Kelley Jean Grover, LCSW 223 S Livermore Rd, Turner, ME 04282-3102 Ph: (207) 577-1646 | Kelley Jean Grover, LCSW 540 Old County Rd, Etna, ME 04434-3818 Ph: (207) 577-1646 |
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