Kelly Dawn Brose, LCSW in Provo, UT - Medicare Clinical Social Worker Provider

Kelly Dawn Brose, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Provo, Utah. She graduated from medical school in 2016 and has 8 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice State Of Utah and her current practice location is 1300 E Center St, Provo, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 344-4400.

Kelly Dawn Brose is licensed to practice in Utah (license number 9806442-3501) 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 1962811224.

Contact Information

	Kelly Dawn Brose, LCSW
	1300 E Center St, Provo, UT 84606
	(801) 344-4400
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kelly Dawn Brose
Gender	Female
Speciality	Clinical Social Worker
Experience	8 Years
Location	1300 E Center St, Provo, Utah
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:

Kelly Dawn Brose graduated from medical school in 2016

NPI Data:

NPI Number: 1962811224
Provider Enumeration Date: 08/11/2014
Last Update Date: 07/11/2019

Medicare PECOS Information:

PECOS PAC ID: 0840527446
Enrollment ID: I20190805002928

Medical Identifiers

Medical identifiers for Kelly Dawn Brose such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962811224	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	9806442-3501 (Utah)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
State Of Utah	6800797333	29

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 Dawn Brose allows following entities to bill medicare on her behalf.

Entity Name	State Of Utah
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811978620 PECOS PAC ID: 6800797333 Enrollment ID: O20040117000195

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 Dawn Brose 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 Dawn Brose, LCSW Po Box 270, Provo, UT 84603-0270 Ph: (801) 344-4400	Kelly Dawn Brose, LCSW 1300 E Center St, Provo, UT 84606 Ph: (801) 344-4400

Reviews and Comments

Social Worker in Provo, UT

Dallas Bean, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 750 N 200 W Ste 300, Provo, UT 84601 Phone: 801-373-4760
Brenna Garrett, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1300 E Center St, Provo, UT 84606 Phone: 801-344-4400
Mrs. Karen Dee Amsden, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 750 N Freedom Blvd, Provo, UT 84601 Phone: 801-373-4760
Frederick Brewer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 750 N Freedom Blvd, Suite 108, Provo, UT 84601 Phone: 801-373-7394
William Kory Camp, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1300 E Center St, Provo, UT 84606 Phone: 801-344-4215
Benjamin Theurer, CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 750 N Freedom Blvd, Provo, UT 84601 Phone: 801-373-4760
Alaina Barrick, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4045 N Canyon Rd, Provo, UT 84604 Phone: 859-582-0032

Kelly Dawn Brose, LCSW - Medicare Clinical Social Worker in Provo, UT