Kelsey Derusha, LCSW in Norwich, CT - Medicare Social Worker Provider

Kelsey Derusha, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Norwich, Connecticut. Her current practice location is 326 Washington St, Norwich, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 889-8331.

Kelsey Derusha is licensed to practice in Connecticut (license number 13787) 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 1336906619.

Contact Information

	Kelsey Derusha, LCSW
	326 Washington St, Norwich, CT 06360-2740
	(860) 889-8331
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kelsey Derusha
Gender	Female
Speciality	Social Worker - Clinical
Location	326 Washington St, Norwich, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336906619
Provider Enumeration Date: 03/04/2024
Last Update Date: 03/04/2024

Medicare PECOS Information:

PECOS PAC ID: 6103264296
Enrollment ID: I20240409002610

Medical Identifiers

Medical identifiers for Kelsey Derusha such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336906619	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	13787 (Connecticut)	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. Kelsey Derusha allows following entities to bill medicare on her behalf.

Entity Name	Windham Community Memorial Hospital, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023191467 PECOS PAC ID: 2961309059 Enrollment ID: O20031217000231

Entity Name	The William W Backus Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467517235 PECOS PAC ID: 0749170645 Enrollment ID: O20040316000739

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. Kelsey Derusha 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
Kelsey Derusha, LCSW 42 Anthony St Apt 20, Jewett City, CT 06351-2236 Ph: (860) 237-2416	Kelsey Derusha, LCSW 326 Washington St, Norwich, CT 06360-2740 Ph: (860) 889-8331

Reviews and Comments

Social Worker in Norwich, CT

Julie A Martin, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 47 Town St, Norwich, CT 06360 Phone: 860-892-7042 Fax: 860-823-3060
Mrs. Jennifer Alice Tattersall, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 62 Broadway Ste 1, Norwich, CT 06360 Phone: 860-639-6880
Laurie Giemza, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 42 Town St Ste 300, Norwich, CT 06360 Phone: 860-886-0567
Robert V Scialabba, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 326 Washington St, William W Backus Hospital, Norwich, CT 06360 Phone: 860-889-8331
Ms. Lindsay Marie Melazzo, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 55 Main St, Suite 408, Norwich, CT 06360 Phone: 860-885-6054
Stacy Mesyna, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 47 Town St, Norwich, CT 06360 Phone: 860-892-7042
Michelle Gienau, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 47 Town St, Norwich, CT 06360 Phone: 860-892-7040

Kelsey Derusha, LCSW - Medicare Clinical Social Worker in Norwich, CT