Mrs Kathleen Adelaide Shelly, LCSW in Erie, PA - Medicare Social Worker Provider

Mrs Kathleen Adelaide Shelly, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Erie, Pennsylvania. Her current practice location is 1330 W 26th St, Erie, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (814) 451-2283.

Mrs Kathleen Adelaide Shelly is licensed to practice in Pennsylvania (license number CW014047) 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 1679634448.

Contact Information

	Mrs Kathleen Adelaide Shelly, LCSW
	1330 W 26th St, Erie, PA 16508-1402
	(814) 451-2283
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Kathleen Adelaide Shelly
Gender	Female
Speciality	Social Worker - Clinical
Location	1330 W 26th St, Erie, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679634448
Provider Enumeration Date: 12/13/2006
Last Update Date: 07/05/2024

Medicare PECOS Information:

PECOS PAC ID: 3971672676
Enrollment ID: I20080521000493

Medical Identifiers

Medical identifiers for Mrs Kathleen Adelaide Shelly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679634448	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	CW014047 (Pennsylvania)	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. Mrs Kathleen Adelaide Shelly allows following entities to bill medicare on her behalf.

Entity Name	Adagio Health Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295826022 PECOS PAC ID: 3870488950 Enrollment ID: O20040310000249

Entity Name	Allegheny Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073081493 PECOS PAC ID: 5395649586 Enrollment ID: O20040310000602

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 Kathleen Adelaide Shelly 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 Kathleen Adelaide Shelly, LCSW 1330 W 26th St, Erie, PA 16508-1402 Ph: (814) 459-9300	Mrs Kathleen Adelaide Shelly, LCSW 1330 W 26th St, Erie, PA 16508-1402 Ph: (814) 451-2283

Reviews and Comments

Social Worker in Erie, PA

Kristen A Schenker, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1373 W 6th St, Erie, PA 16505 Phone: 814-873-4205
Brent Vargo, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2910 State St, Erie, PA 16508 Phone: 814-464-5686
Donna M Snyder, LCSW, CAC DIPLOMATE Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1910 Sassafras St, Suite 100, Erie, PA 16502 Phone: 814-452-5490 Fax: 814-452-7610
Ms. Antoinette Louise Baker-mulford, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5100 Peach St, Erie, PA 16509 Phone: 814-866-4500 Fax: 814-866-2677
Mrs. Julia Rose Copen, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1910 Sassafras St, Erie, PA 16502 Phone: 814-452-5843 Fax: 814-452-7610
Ann Hippely, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5100 Peach St, Erie, PA 16509 Phone: 814-866-4500
Mr. David T. Urban, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 956 W 38th St, Erie, PA 16508 Phone: 814-864-9719 Fax: 814-866-1171

Mrs Kathleen Adelaide Shelly, LCSW - Medicare Clinical Social Worker in Erie, PA