Kelsey Wilson, LICSW, LISW in South Sioux City, NE - Medicare Social Worker Provider

Kelsey Wilson, LICSW, LISW is a medicare enrolled "Social Worker - Clinical" provider in South Sioux City, Nebraska. Her current practice location is 3410 Futures Dr, South Sioux City, Nebraska. You can reach out to her office (for appointments etc.) via phone at (402) 412-7242.

Kelsey Wilson is licensed to practice in Nebraska (license number 3374) 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 1285315333.

Contact Information

	Kelsey Wilson, LICSW, LISW
	3410 Futures Dr, South Sioux City, NE 68776-3917
	(402) 412-7242
	(712) 252-5920

Map and Direction

Healthcare Provider's Profile

Full Name	Kelsey Wilson
Gender	Female
Speciality	Social Worker - Clinical
Location	3410 Futures Dr, South Sioux City, Nebraska
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1285315333
Provider Enumeration Date: 07/31/2023
Last Update Date: 07/31/2023

Medicare PECOS Information:

PECOS PAC ID: 7810350816
Enrollment ID: I20230823003401

Medical Identifiers

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

Identifier	Type	State	Issuer
1285315333	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	095606 (Iowa)	Secondary
1041C0700X	Social Worker - Clinical	3374 (Nebraska)	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 Wilson allows following entities to bill medicare on her behalf.

Entity Name	Siouxland Community Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558355305 PECOS PAC ID: 9931099546 Enrollment ID: O20040317001270

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 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
Kelsey Wilson, LICSW, LISW 504 Division St, Jefferson, SD 57038-2039 Ph: (712) 898-4800	Kelsey Wilson, LICSW, LISW 3410 Futures Dr, South Sioux City, NE 68776-3917 Ph: (402) 412-7242

Reviews and Comments

Social Worker in South Sioux City, NE

Ms. Deborah Ann Campbell, LMHP, CMSW, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 917 W 21st St, South Sioux City, NE 68776 Phone: 402-494-3337 Fax: 402-494-3356
Ms. Angela Young, PLMHP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 Futures Dr, South Sioux City, NE 68776 Phone: 402-494-4185 Fax: 402-494-3925
Jessica Rena Barnes, LICSW, LISW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1201 Arbor Drive, South Sioux City, NE 68776 Phone: 712-490-4398
Ms. Robbi Lynn Lemaster, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 917 W 21st St, South Sioux City, NE 68776 Phone: 402-494-7655

Kelsey Wilson, LICSW, LISW - Medicare Clinical Social Worker in South Sioux City, NE