Kelley Lynn Gavigan, LMSW in Warren, MI - Medicare Social Worker Provider

Kelley Lynn Gavigan, LMSW is a medicare enrolled "Social Worker - Clinical" provider in Warren, Michigan. Her current practice location is 8150 Old 13 Mile Rd, Warren, Michigan. You can reach out to her office (for appointments etc.) via phone at (800) 395-3223.

Kelley Lynn Gavigan is licensed to practice in Michigan (license number 6801109616) 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 1518483189.

Contact Information

	Kelley Lynn Gavigan, LMSW
	8150 Old 13 Mile Rd, Warren, MI 48093-8700
	(800) 395-3223
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kelley Lynn Gavigan
Gender	Female
Speciality	Social Worker - Clinical
Location	8150 Old 13 Mile Rd, Warren, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1518483189
Provider Enumeration Date: 08/16/2017
Last Update Date: 05/14/2021

Medicare PECOS Information:

PECOS PAC ID: 6608276662
Enrollment ID: I20210611002126

Medical Identifiers

Medical identifiers for Kelley Lynn Gavigan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518483189	NPI	-	NPPES
MI3861	Other	MI	MEDICARE
3382844061	Medicaid	MI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	6801101391 (Michigan)	Secondary
1041C0700X	Social Worker - Clinical	6801109616 (Michigan)	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 Lynn Gavigan allows following entities to bill medicare on her behalf.

Entity Name	Ismail B Sendi Md Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609882067 PECOS PAC ID: 4688674534 Enrollment ID: O20061228000140

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 Lynn Gavigan 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 Lynn Gavigan, LMSW 6549 Town Center Dr Ste A, Clarkston, MI 48346-4824 Ph: (248) 620-6400	Kelley Lynn Gavigan, LMSW 8150 Old 13 Mile Rd, Warren, MI 48093-8700 Ph: (800) 395-3223

Reviews and Comments

Social Worker in Warren, MI

Muamera Logo-lojo, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8150 E 13 Mile Rd, Warren, MI 48093 Phone: 586-825-9700
Zelda Hunt, LMSW, ACSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12220 E 13 Mile Rd, Suite 300, Warren, MI 48093 Phone: 586-258-0206 Fax: 586-258-0201
Melissa M Elmore, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8150 Old 13 Mile Rd, Warren, MI 48093 Phone: 800-395-3223 Fax: 248-620-6405
Ms. Susan A. Hoprick, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8150 E 13 Mile Rd, Suite 100, Warren, MI 48093 Phone: 586-558-7472 Fax: 586-558-8802
Christine D Coatney, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12220 E 13 Mile Rd, Suite 300, Warren, MI 48093 Phone: 586-573-1810 Fax: 586-573-2121
Ms. Roxanne James, B.S. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 23700 Van Dyke Ave, Warren, MI 48089 Phone: 586-758-6670
Kelsey Lynn Joachim, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12200 E 13 Mile Rd # 200, Warren, MI 48093 Phone: 586-573-1810

Kelley Lynn Gavigan, LMSW - Medicare Clinical Social Worker in Warren, MI