Kelsey Williams Gibbs, LCSW in Southlake, TX - Medicare Social Worker Provider

Kelsey Williams Gibbs, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Southlake, Texas. Her current practice location is 191 W Southlake Blvd Ste 100, Southlake, Texas. You can reach out to her office (for appointments etc.) via phone at (817) 488-0502.

Kelsey Williams Gibbs is licensed to practice in Texas (license number 109391) 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 1366141392.

Contact Information

	Kelsey Williams Gibbs, LCSW
	191 W Southlake Blvd Ste 100, Southlake, TX 76092-7031
	(817) 488-0502
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kelsey Williams Gibbs
Gender	Female
Speciality	Social Worker - Clinical
Location	191 W Southlake Blvd Ste 100, Southlake, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366141392
Provider Enumeration Date: 02/28/2023
Last Update Date: 02/28/2023

Medicare PECOS Information:

PECOS PAC ID: 5092174599
Enrollment ID: I20230630001498

Medical Identifiers

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

Identifier	Type	State	Issuer
1366141392	NPI	-	NPPES
109391	Other	TX	STATE LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	109391 (Texas)	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 Williams Gibbs allows following entities to bill medicare on her behalf.

Entity Name	Ar Psychological Services Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467892810 PECOS PAC ID: 2668616434 Enrollment ID: O20130917000486

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 Williams Gibbs 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 Williams Gibbs, LCSW 191 W Southlake Blvd Ste 100, Southlake, TX 76092-7031 Ph: () -	Kelsey Williams Gibbs, LCSW 191 W Southlake Blvd Ste 100, Southlake, TX 76092-7031 Ph: (817) 488-0502

Reviews and Comments

Social Worker in Southlake, TX

Mrs. Garen Gasparro, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2435 E Southlake Blvd, Suite 100, Southlake, TX 76092 Phone: 817-812-2880
Miss Brenda Gomez Hendrix-smith, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 500 Silicon Drive, Suite 100, Southlake, TX 76092 Phone: 817-416-7729
Emily Marquez, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 191 W Southlake Blvd Ste 100, Southlake, TX 76092 Phone: 817-488-0502 Fax: 817-488-0495
Todd Allen Gjerdevig, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 180 State St Ste 225, Southlake, TX 76092 Phone: 817-908-0296
Katherine Mccoy, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1500 Corporate Cir, Southlake, TX 76092 Phone: 817-721-9330
Shannon Thomas, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 231 E Southlake Blvd Ste 160, Southlake, TX 76092 Phone: 817-897-8882 Fax: 817-953-8900
Katlin Anne Parsons, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1100 E Southlake Blvd Ste 200, Southlake, TX 76092 Phone: 817-697-4195 Fax: 817-697-4195

Kelsey Williams Gibbs, LCSW - Medicare Clinical Social Worker in Southlake, TX