Kelly A Mundell, MSW LCSW in Evansville, IN - Medicare Social Worker Provider

Kelly A Mundell, MSW LCSW is a medicare enrolled "Social Worker - Clinical" provider in Evansville, Indiana. Her current practice location is 4001 John St, Evansville, Indiana. You can reach out to her office (for appointments etc.) via phone at (812) 473-3104.

Kelly A Mundell is licensed to practice in Indiana (license number 34007123A) 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 1861892895.

Contact Information

	Kelly A Mundell, MSW LCSW
	4001 John St, Evansville, IN 47714-0216
	(812) 473-3104
	(812) 422-7558

Map and Direction

Healthcare Provider's Profile

Full Name	Kelly A Mundell
Gender	Female
Speciality	Social Worker - Clinical
Location	4001 John St, Evansville, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861892895
Provider Enumeration Date: 08/27/2014
Last Update Date: 03/24/2016

Medicare PECOS Information:

PECOS PAC ID: 1254654148
Enrollment ID: I20141230000139

Medical Identifiers

Medical identifiers for Kelly A Mundell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861892895	NPI	-	NPPES
168890	Other	IN	SIHO
12777494	Other		CAQH
000000930972	Other	IN	ANTHEM
100240880	Medicaid	IN
839090011	Other	IN	MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	34007123A (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. Kelly A Mundell allows following entities to bill medicare on her behalf.

Entity Name	Southwestern Behavioral Healthcare, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033108766 PECOS PAC ID: 7315842309 Enrollment ID: O20031203000451

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. Kelly A Mundell 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
Kelly A Mundell, MSW LCSW 415 Mulberry St, Evansville, IN 47713-1230 Ph: (812) 436-4232	Kelly A Mundell, MSW LCSW 4001 John St, Evansville, IN 47714-0216 Ph: (812) 473-3104

Reviews and Comments

Social Worker in Evansville, IN

Laura M Faulkner, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4001 John St, Evansville, IN 47714 Phone: 812-473-3144 Fax: 812-422-7558
Brittany Bailey, MSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4001 John St, Evansville, IN 47714 Phone: 813-473-3144
Madelynn R Wiethop, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 7144 E Virginia St Ste C, Evansville, IN 47715 Phone: 812-479-1242
Taylor Willard, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7409 Eagle Crest Blvd, Evansville, IN 47715 Phone: 812-426-9779
Teresa A Mercer, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 7200 E Indiana St, Evansville, IN 47715 Phone: 812-476-7200 Fax: 812-471-4514
Ramona L. Wilzbacher, MSW, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 60 S. Stockwell Road, Evansville, IN 47714 Phone: 812-476-5437 Fax: 812-422-7558
Ashley Williams, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1133 Lincoln Ave, Evansville, IN 47714 Phone: 812-491-2615

Kelly A Mundell, MSW LCSW - Medicare Clinical Social Worker in Evansville, IN