Mrs Jamie Tisa Coffey-kelly, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Cascade, Idaho. Her current practice location is
402 Lake Cascade Pkwy, Cascade, Idaho. You can reach out to her office (for appointments etc.) via phone at
(208) 382-4285.
Mrs Jamie Tisa Coffey-kelly is licensed to practice in Idaho (license number LCSW-37639) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1992135818.
Healthcare Provider's Profile
Full Name | Mrs Jamie Tisa Coffey-kelly |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 402 Lake Cascade Pkwy, Cascade, Idaho |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mrs Jamie Tisa Coffey-kelly attended and graduated from in
NPI Data:
- NPI Number: 1992135818
- Provider Enumeration Date: 11/13/2013
- Last Update Date: 02/22/2021
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Mrs Jamie Tisa Coffey-kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1992135818 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | LCSW-37639 (Idaho) | Primary |
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. Mrs Jamie Tisa Coffey-kelly 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 |
Mrs Jamie Tisa Coffey-kelly, LCSW Po Box 1330, Cascade, ID 83611-1330 Ph: (208) 382-4285 | Mrs Jamie Tisa Coffey-kelly, LCSW 402 Lake Cascade Pkwy, Cascade, ID 83611-7702 Ph: (208) 382-4285 |
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