Kelli Evelyn Ensman, LCSW in Rialto, CA - Medicare Social Worker Provider

Kelli Evelyn Ensman, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Rialto, California. Her current practice location is 850 East Foothill Blvd, Rialto, California. You can reach out to her office (for appointments etc.) via phone at (909) 421-4633.

Kelli Evelyn Ensman is licensed to practice in California (license number 87562) 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 1033407747.

Contact Information

	Kelli Evelyn Ensman, LCSW
	850 East Foothill Blvd, Rialto, CA 92376
	(909) 421-4633
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kelli Evelyn Ensman
Gender	Female
Speciality	Social Worker - Clinical
Location	850 East Foothill Blvd, Rialto, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033407747
Provider Enumeration Date: 07/14/2011
Last Update Date: 08/27/2019

Medicare PECOS Information:

PECOS PAC ID: 6305293531
Enrollment ID: I20231109002872

Medical Identifiers

Medical identifiers for Kelli Evelyn Ensman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033407747	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	87562 (California)	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. Kelli Evelyn Ensman allows following entities to bill medicare on her behalf.

Entity Name	County Of San Bernardino
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164467023 PECOS PAC ID: 3870499130 Enrollment ID: O20031209000420

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. Kelli Evelyn Ensman 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
Kelli Evelyn Ensman, LCSW 850 E Foothill Blvd, Rialto, CA 92376-5230 Ph: (626) 484-1003	Kelli Evelyn Ensman, LCSW 850 East Foothill Blvd, Rialto, CA 92376 Ph: (909) 421-4633

Reviews and Comments

Social Worker in Rialto, CA

Metra Jaberi, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 850 E Foothill Blvd, Rialto, CA 92376 Phone: 909-454-4401
Miss Regina Joanna Peacock, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 5822 Olive Ave, Rialto, CA 92377 Phone: 909-831-0446
Miss Deanna Aghbashian, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 850 E Foothill Blvd, Rialto, CA 92376 Phone: 909-421-9233
Anna Teresa Mejia, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 850 E Foothill Blvd, Rialto, CA 92376 Phone: 909-921-9452
Erica Decker, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 850 E Foothill Blvd, Rialto, CA 92376 Phone: 909-421-9270
Blessing Chinedu-obi, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 850 E Foothill Blvd, Rialto, CA 92376 Phone: 909-421-4690 Fax: 909-421-5650

Kelli Evelyn Ensman, LCSW - Medicare Clinical Social Worker in Rialto, CA