Kelly Kendra Wilson, LCSW in Fayetteville, AR - Medicare Clinical Social Worker Provider

Kelly Kendra Wilson, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Fayetteville, Arkansas. She graduated from medical school in 2016 and has 8 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Pt Concepts Pllc and her current practice location is 3162 W Martin Luther King Blvd Ste 13-14, Fayetteville, Arkansas. You can reach out to her office (for appointments etc.) via phone at (479) 935-4834.

Kelly Kendra Wilson is licensed to practice in Arkansas (license number 8293-C) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1902345416.

Contact Information

	Kelly Kendra Wilson, LCSW
	3162 W Martin Luther King Blvd Ste 13-14, Fayetteville, AR 72704-7679
	(479) 935-4834
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kelly Kendra Wilson
Gender	Female
Speciality	Clinical Social Worker
Experience	8 Years
Location	3162 W Martin Luther King Blvd Ste 13-14, Fayetteville, Arkansas
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kelly Kendra Wilson graduated from medical school in 2016

NPI Data:

NPI Number: 1902345416
Provider Enumeration Date: 02/16/2017
Last Update Date: 06/08/2020

Medicare PECOS Information:

PECOS PAC ID: 6901228964
Enrollment ID: I20200619000856

Medical Identifiers

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

Identifier	Type	State	Issuer
1902345416	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	8293-M (Arkansas)	Secondary
1041C0700X	Social Worker - Clinical	8293-C (Arkansas)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Pt Concepts Pllc	1951669852	15

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 Kendra Wilson allows following entities to bill medicare on her behalf.

Entity Name	Pt Concepts Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164931291 PECOS PAC ID: 1951669852 Enrollment ID: O20171226000989

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 Kendra Wilson 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 Kendra Wilson, LCSW 614 E Emma Ave Ste 300, Springdale, AR 72764-4469 Ph: (479) 751-7417	Kelly Kendra Wilson, LCSW 3162 W Martin Luther King Blvd Ste 13-14, Fayetteville, AR 72704-7679 Ph: (479) 935-4834

Reviews and Comments

Social Worker in Fayetteville, AR

Courtney Elaine Goodrum, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1 W Sunbridge Dr, Fayetteville, AR 72703 Phone: 479-443-5575
Ernestine Dickson, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 516 S East Ave, Fayetteville, AR 72701 Phone: 501-313-1033
Nancy Lou Webb, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 17 W. Sunbridge, Fayetteville, AR 72703 Phone: 479-725-5224 Fax: 479-750-8967
Carla E Williams, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 905 W Eden Cir, Fayetteville, AR 72701 Phone: 479-409-6167 Fax: 479-587-8703
Jordan Hughes, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2354 N Montana Ave, Fayetteville, AR 72704 Phone: 501-690-3633
Kerri Vollmer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2592 N Gregg Ave, Suite 16, Fayetteville, AR 72703 Phone: 479-582-5565
Mary C Ferguson, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 60 W Sunbridge Dr, Fayetteville, AR 72703 Phone: 479-695-1240 Fax: 479-695-1242

Kelly Kendra Wilson, LCSW - Medicare Clinical Social Worker in Fayetteville, AR