Kelly Marie Evans, MSW, PENDING RCSWI in Clermont, FL

Kelly Marie Evans, MSW, PENDING RCSWI is a medicare enrolled "Social Worker - Clinical" provider in Clermont, Florida. Her current practice location is 1208 Bowman St, Clermont, Florida. You can reach out to her office (for appointments etc.) via phone at (352) 717-4078.

Kelly Marie Evans is licensed to practice in * (Not Available) (license number ) 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 1831773134.

Contact Information

	Kelly Marie Evans, MSW, PENDING RCSWI
	1208 Bowman St, Clermont, FL 34711-3144
	(352) 717-4078
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kelly Marie Evans
Gender	Female
Speciality	Social Worker - Clinical
Location	1208 Bowman St, Clermont, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1831773134
Provider Enumeration Date: 05/12/2021
Last Update Date: 05/12/2021

Medicare PECOS Information:

PECOS PAC ID: 0143678755
Enrollment ID: I20231120003626

Medical Identifiers

Medical identifiers for Kelly Marie Evans such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831773134	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	(* (Not Available))	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 Marie Evans allows following entities to bill medicare on her behalf.

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20210414000053

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 Marie Evans 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 Marie Evans, MSW, PENDING RCSWI 13802 Via Roma Cir, Clermont, FL 34711-5325 Ph: (407) 721-3975	Kelly Marie Evans, MSW, PENDING RCSWI 1208 Bowman St, Clermont, FL 34711-3144 Ph: (352) 717-4078

Reviews and Comments

Social Worker in Clermont, FL

Altagrace K Souverain, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2140 N Don Wickham Dr, Clermont, FL 34711 Phone: 352-394-5922
Pamela Quiroz, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 509 Cagan View Rd, Clermont, FL 34714 Phone: 407-905-8827 Fax: 407-905-8998
Massiel Hernandez, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4300 S Hwy 27 Ste 205b, Clermont, FL 34711 Phone: 407-374-5139
Rona Ingrid Henriques, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 450 E Highway 50, Clermont, FL 34711 Phone: 352-432-2127 Fax: 352-432-2127
Alyssa Bellin, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2400 S Hwy 27 Ste B201, Clermont, FL 34711 Phone: 727-254-9092
Joelle June Bangsund, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 835 Oakley Seaver Dr, S, Clermont, FL 34711 Phone: 352-241-9282 Fax: 352-241-4282
Andrea Clemens, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 14806 Spruce Pine Ln, Clermont, FL 34711 Phone: 407-486-1086

Kelly Marie Evans, MSW, PENDING RCSWI - Medicare Clinical Social Worker in Clermont, FL