Kelly Dulohery, LICSW is a medicare enrolled "Social Worker - Clinical" provider in North Mankato, Minnesota. Her current practice location is
1695 Lor Ray Dr, North Mankato, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(507) 385-6548.
Kelly Dulohery is licensed to practice in Minnesota (license number 20650) 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 1861877490.
Healthcare Provider's Profile
Full Name | Kelly Dulohery |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 1695 Lor Ray Dr, North Mankato, Minnesota |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1861877490
- Provider Enumeration Date: 07/24/2015
- Last Update Date: 01/21/2021
Medicare PECOS Information:
- PECOS PAC ID: 6608181953
- Enrollment ID: I20150814013442
Medical Identifiers
Medical identifiers for Kelly Dulohery such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1861877490 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 20650 (Minnesota) | 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 Dulohery allows following entities to bill medicare on her behalf.
Entity Name | Mayo Clinic Health System-southwest Minnesota Region |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1578545422 PECOS PAC ID: 4688585771 Enrollment ID: O20031110000134 |
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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. Kelly Dulohery 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 Dulohery, LICSW 1695 Lor Ray Dr, North Mankato, MN 56003-2804 Ph: () - | Kelly Dulohery, LICSW 1695 Lor Ray Dr, North Mankato, MN 56003-2804 Ph: (507) 385-6548 |
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