Mary Kathleen Kelley, LICSW in Madison, AL - Medicare Social Worker Provider

Mary Kathleen Kelley, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Madison, Alabama. Her current practice location is 600 Sun Temple Dr, Madison, Alabama. You can reach out to her office (for appointments etc.) via phone at (256) 975-4291.

Mary Kathleen Kelley is licensed to practice in Alabama (license number 0558C) 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 1972227783.

Contact Information

	Mary Kathleen Kelley, LICSW
	600 Sun Temple Dr, Madison, AL 35758-8643
	(256) 975-4291
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mary Kathleen Kelley
Gender	Female
Speciality	Social Worker - Clinical
Location	600 Sun Temple Dr, Madison, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1972227783
Provider Enumeration Date: 09/27/2022
Last Update Date: 09/27/2022

Medicare PECOS Information:

PECOS PAC ID: 5799161378
Enrollment ID: I20221005001570

Medical Identifiers

Medical identifiers for Mary Kathleen Kelley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972227783	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	0558C (Alabama)	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. Mary Kathleen Kelley allows following entities to bill medicare on her behalf.

Entity Name	Integrated Behavioral Health, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730522699 PECOS PAC ID: 7416194113 Enrollment ID: O20131007001029

Entity Name	Russellville Hospital Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780232314 PECOS PAC ID: 3476878489 Enrollment ID: O20191018002761

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. Mary Kathleen Kelley 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
Mary Kathleen Kelley, LICSW 600 Sun Temple Dr, Madison, AL 35758-8643 Ph: (256) 975-4291	Mary Kathleen Kelley, LICSW 600 Sun Temple Dr, Madison, AL 35758-8643 Ph: (256) 975-4291

Reviews and Comments

Social Worker in Madison, AL

Laurel Custer, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1634 Slaughter Rd Ste C, Madison, AL 35758 Phone: 256-822-2375 Fax: 256-584-2330
Debbie Kay Duquette, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 120 W Dublin Dr Ste 202, Madison, AL 35758 Phone: 256-929-5507 Fax: 888-440-7284
April S Motton, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 600 Sun Temple Dr, Madison, AL 35758 Phone: 256-975-4291 Fax: 256-429-9411
Linda Mcgee Thompson, LCSW-PIP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 450 Lanier Rd, Madison, AL 35758 Phone: 256-774-4500 Fax: 256-774-4573
Amber Stricklin, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 600 Sun Temple Dr, Madison, AL 35758 Phone: --
Mr. James Franklin Waller, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8075 Madison Blvd, Suite 101, Madison, AL 35758 Phone: 256-772-6220 Fax: 256-460-0030
Doris A Bell, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8215 Madison Blvd, Ste 150, Madison, AL 35758 Phone: 256-325-2500 Fax: 866-896-3657

Mary Kathleen Kelley, LICSW - Medicare Clinical Social Worker in Madison, AL