Kelly Tazi, MSSW, LCSW in Covington, KY - Medicare Social Worker Provider

Kelly Tazi, MSSW, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Covington, Kentucky. Her current practice location is 525 W 5th St, Covington, Kentucky. You can reach out to her office (for appointments etc.) via phone at (859) 816-5504.

Kelly Tazi is licensed to practice in Kentucky (license number 256613) 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 1205558087.

Contact Information

	Kelly Tazi, MSSW, LCSW
	525 W 5th St, Covington, KY 41011-1259
	(859) 816-5504
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kelly Tazi
Gender	Female
Speciality	Social Worker - Clinical
Location	525 W 5th St, Covington, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205558087
Provider Enumeration Date: 09/19/2022
Last Update Date: 09/19/2022

Medicare PECOS Information:

PECOS PAC ID: 4880063882
Enrollment ID: I20221214001999

Medical Identifiers

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

Identifier	Type	State	Issuer
1205558087	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	256613 (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 Tazi allows following entities to bill medicare on her behalf.

Entity Name	Psychological & Behavioral Consultants Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811915713 PECOS PAC ID: 0446243760 Enrollment ID: O20160926002081

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 Tazi 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 Tazi, MSSW, LCSW 509 W Southern Ave, Covington, KY 41015-1363 Ph: (859) 739-8484	Kelly Tazi, MSSW, LCSW 525 W 5th St, Covington, KY 41011-1259 Ph: (859) 816-5504

Reviews and Comments

Social Worker in Covington, KY

Tanya H Kaup, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 502 Farrell Dr, Covington, KY 41011 Phone: 859-331-3292 Fax: 859-578-2864
Kimberly M Guy, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 502 Farrell Dr, Covington, KY 41011 Phone: 859-331-3292 Fax: 859-578-2864
Ruth K Verst, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 502 Farrell Dr, Covington, KY 41011 Phone: 859-331-3292 Fax: 859-578-2468
Mrs. Anna R Humes, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4339 Winston Ave, Covington, KY 41015 Phone: 859-835-2573
Dr. Lora Ann Millsaps, DSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 513 Madison Ave, Covington, KY 41011 Phone: 859-331-3292
Danielle Hubbard, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 513 Madison Ave, Covington, KY 41011 Phone: 859-578-3200 Fax: 859-534-2627
Andrea Mcphillips, MSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 513 Madison Ave, Covington, KY 41011 Phone: 859-331-3292 Fax: 859-534-2989

Kelly Tazi, MSSW, LCSW - Medicare Clinical Social Worker in Covington, KY