Kelli Renee Deckard, LCSW in Bloomington, IN - Medicare Social Worker Provider

Kelli Renee Deckard, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Bloomington, Indiana. Her current practice location is 482 S Landmark Ave, Bloomington, Indiana. You can reach out to her office (for appointments etc.) via phone at (812) 333-8474.

Kelli Renee Deckard is licensed to practice in Indiana (license number 34010292A) 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 1144922915.

Contact Information

	Kelli Renee Deckard, LCSW
	482 S Landmark Ave, Bloomington, IN 47403-5000
	(812) 333-8474
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kelli Renee Deckard
Gender	Female
Speciality	Social Worker - Clinical
Location	482 S Landmark Ave, Bloomington, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144922915
Provider Enumeration Date: 03/17/2023
Last Update Date: 03/17/2023

Medicare PECOS Information:

PECOS PAC ID: 8426414491
Enrollment ID: I20230517000803

Medical Identifiers

Medical identifiers for Kelli Renee Deckard such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144922915	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	34010292A (Indiana)	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 Renee Deckard allows following entities to bill medicare on her behalf.

Entity Name	Jennifer Spencer Phd Hspp Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932331345 PECOS PAC ID: 0244384758 Enrollment ID: O20090819000002

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 Renee Deckard 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 Renee Deckard, LCSW 4240 N Ridgewood Dr, Bloomington, IN 47404-9640 Ph: (812) 361-3454	Kelli Renee Deckard, LCSW 482 S Landmark Ave, Bloomington, IN 47403-5000 Ph: (812) 333-8474

Reviews and Comments

Social Worker in Bloomington, IN

Sarah J Bullock, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 645 S Rogers St, Bloomington, IN 47403 Phone: 812-339-1691 Fax: 812-378-8367
Ms. Jody May, M.S.W., L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 517 N Walnut St, Bloomington, IN 47404 Phone: 812-331-2003
Mr. David N Lampke, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1332 W Arch Haven Ave, Bloomington, IN 47403 Phone: 812-349-4406 Fax: 812-349-4418
Mrs. Nicole A. Williamson, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3939 S Walnut St, Suite 1, Bloomington, IN 47401 Phone: 812-322-4109
Jennifer Claypoole, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 645 S Rogers St, Bloomington, IN 47403 Phone: 812-339-1691 Fax: 812-337-2438
Melissa Stone, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 101 W Kirkwood Ave Ste 249, Bloomington, IN 47404 Phone: 812-727-4577
Sandra Mary Mckinney, LCSW, LMFT Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 550 S Adams St, Bloomington, IN 47403 Phone: 812-333-6324 Fax: 812-331-6700

Kelli Renee Deckard, LCSW - Medicare Clinical Social Worker in Bloomington, IN