Kelli Jordan, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Science Hill, Kentucky. She graduated from medical school in 2014 and has 11 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Seven Counties Services, Inc and her current practice location is
162 Deluca Dr, Science Hill, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(859) 428-7374.
Kelli Jordan is licensed to practice in Kentucky (license number 252744) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1710380035.
Healthcare Provider's Profile
Full Name | Kelli Jordan |
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Gender | Female |
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Speciality | Clinical Social Worker |
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Experience | 11 Years |
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Location | 162 Deluca Dr, Science Hill, Kentucky |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Kelli Jordan graduated from medical school in 2014
NPI Data:
- NPI Number: 1710380035
- Provider Enumeration Date: 10/01/2014
- Last Update Date: 10/22/2024
Medicare PECOS Information:
- PECOS PAC ID: 7810268711
- Enrollment ID: I20170811000708
Medical Identifiers
Medical identifiers for Kelli Jordan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710380035 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 252744 (Kentucky) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Seven Counties Services, Inc | 1759294424 | 63 |
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 Jordan allows following entities to bill medicare on her behalf.
Entity Name | Seven Counties Services, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1598793671 PECOS PAC ID: 1759294424 Enrollment ID: O20031110000034 |
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Entity Name | Lake Cumberland Regional Mental Health Mental Retardation Board Inc . |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1336172642 PECOS PAC ID: 3375536717 Enrollment ID: O20040403000092 |
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Entity Name | Quest Counseling |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1215475561 PECOS PAC ID: 3173872256 Enrollment ID: O20180822003279 |
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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. Kelli Jordan 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 Jordan, LCSW 162 Deluca Dr, Science Hill, KY 42553-9053 Ph: () - | Kelli Jordan, LCSW 162 Deluca Dr, Science Hill, KY 42553-9053 Ph: (859) 428-7374 |
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