Kelly Lynn Van Dolson, LICSW in Dover, NH - Medicare Social Worker Provider

Kelly Lynn Van Dolson, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Dover, New Hampshire. Her current practice location is 10 Members Way Ste 201, Dover, New Hampshire. You can reach out to her office (for appointments etc.) via phone at (603) 742-2263.

Kelly Lynn Van Dolson is licensed to practice in New Hampshire (license number 2134) 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 1932481678.

Contact Information

	Kelly Lynn Van Dolson, LICSW
	10 Members Way Ste 201, Dover, NH 03820-5933
	(603) 742-2263
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kelly Lynn Van Dolson
Gender	Female
Speciality	Social Worker - Clinical
Location	10 Members Way Ste 201, Dover, New Hampshire
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1932481678
Provider Enumeration Date: 09/19/2011
Last Update Date: 08/20/2019

Medicare PECOS Information:

PECOS PAC ID: 7214260678
Enrollment ID: I20190618000523

Medical Identifiers

Medical identifiers for Kelly Lynn Van Dolson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932481678	NPI	-	NPPES
3117655	Medicaid	NH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	119709 (Massachusetts)	Secondary
1041C0700X	Social Worker - Clinical	2134 (New Hampshire)	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 Lynn Van Dolson allows following entities to bill medicare on her behalf.

Entity Name	Wentworth Douglass Physician Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447352430 PECOS PAC ID: 5496749848 Enrollment ID: O20040409000433

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 Lynn Van Dolson 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 Lynn Van Dolson, LICSW 789 Central Ave, Dover, NH 03820-2526 Ph: (603) 742-2263	Kelly Lynn Van Dolson, LICSW 10 Members Way Ste 201, Dover, NH 03820-5933 Ph: (603) 742-2263

Reviews and Comments

Social Worker in Dover, NH

Erin Wardrop, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 50 Chestnut St, Dover, NH 03820 Phone: 603-516-9300 Fax: 603-740-9179
Katherine B Frick, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 16 5th St, Dover, NH 03820 Phone: 603-749-4462 Fax: 603-749-2475
Sylvia A Bradd, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 16 Fifth St, Dover, NH 03820 Phone: 603-883-0005
Jennifer C Spargo, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7 Westwood Cir, Dover, NH 03820 Phone: 603-749-7827
Mary Boucher, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 6 Old Rochester Rd Ste 102c, Dover, NH 03820 Phone: 603-828-2434
Sharissa Stout, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 140 Washington St Ste 1, Dover, NH 03820 Phone: 603-504-8355
Mrs. Kimberly Alice Whittemore, BA Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 50 Chestnut Street, Suite A, Dover, NH 03820 Phone: 603-516-9300 Fax: 603-516-2731

Kelly Lynn Van Dolson, LICSW - Medicare Clinical Social Worker in Dover, NH