Kelly E Fenwick, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Springfield, Kentucky. Her current practice location is
601 Lincoln Park Rd, Springfield, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(844) 435-0900.
Kelly E Fenwick is licensed to practice in Kentucky (license number 256116) 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 1023772779.
Healthcare Provider's Profile
Full Name | Kelly E Fenwick |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 601 Lincoln Park Rd, Springfield, Kentucky |
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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: 1023772779
- Provider Enumeration Date: 10/28/2021
- Last Update Date: 10/11/2024
Medicare PECOS Information:
- PECOS PAC ID: 1658804992
- Enrollment ID: I20241025000532
Medical Identifiers
Medical identifiers for Kelly E Fenwick such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1023772779 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 256116 (Kentucky) | 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 E Fenwick allows following entities to bill medicare on her behalf.
Entity Name | Cumberland Family Medical Center, Inc.. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1306873500 PECOS PAC ID: 6305947789 Enrollment ID: O20120221000433 |
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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 E Fenwick 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 E Fenwick, LCSW Po Box 1080, Burkesville, KY 42717-1080 Ph: (270) 858-6655 | Kelly E Fenwick, LCSW 601 Lincoln Park Rd, Springfield, KY 40069-1501 Ph: (844) 435-0900 |
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