Kim Nelson-blackburn, LCSW in Delphi, IN - Medicare Social Worker Provider

Kim Nelson-blackburn, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Delphi, Indiana. Her current practice location is 1265 N Bradford Dr, Delphi, Indiana. You can reach out to her office (for appointments etc.) via phone at (765) 564-2247.

Kim Nelson-blackburn is licensed to practice in Indiana (license number 34004056A) 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 1811294168.

Contact Information

	Kim Nelson-blackburn, LCSW
	1265 N Bradford Dr, Delphi, IN 46923-9553
	(765) 564-2247
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kim Nelson-blackburn
Gender	Female
Speciality	Social Worker - Clinical
Location	1265 N Bradford Dr, Delphi, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1811294168
Provider Enumeration Date: 02/23/2011
Last Update Date: 02/23/2011

Medicare PECOS Information:

PECOS PAC ID: 9638351935
Enrollment ID: I20110308000577

Medical Identifiers

Medical identifiers for Kim Nelson-blackburn such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811294168	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	34004056A (Indiana)	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. Kim Nelson-blackburn allows following entities to bill medicare on her behalf.

Entity Name	Optum Behavioral Care Of Colorado Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336907963 PECOS PAC ID: 0941648463 Enrollment ID: O20240408000776

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. Kim Nelson-blackburn 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
Kim Nelson-blackburn, LCSW 1265 N Bradford Dr, Delphi, IN 46923-9553 Ph: () -	Kim Nelson-blackburn, LCSW 1265 N Bradford Dr, Delphi, IN 46923-9553 Ph: (765) 564-2247

Reviews and Comments

Social Worker in Delphi, IN

Anne Hunte, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1265 N Bradford Dr, Delphi, IN 46923 Phone: 765-564-2247
Lora Davis, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1265 N Bradford Dr, Delphi, IN 46923 Phone: 765-564-2247
Lacie Suzanne Tomson, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 425 N Washington St, Delphi, IN 46923 Phone: 765-202-4497
Donald W Bishop Sr., LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1265 N Bradford Dr, Delphi, IN 46923 Phone: 765-564-2247
Stephanie Hostetler, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1265 N Bradford Dr, Delphi, IN 46923 Phone: 765-564-2247
Marilyn Minich, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1265 N Bradford Dr, Delphi, IN 46923 Phone: 765-564-2249
Stephanie Milan, LSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 304 W Front St, Delphi, IN 46923 Phone: 765-202-2574

Kim Nelson-blackburn, LCSW - Medicare Clinical Social Worker in Delphi, IN