Mrs Kelli Adams, LCSW LISW is a medicare enrolled "Social Worker - Clinical" provider in Ave Maria, Florida. She graduated from medical school in 1995 and has 30 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Grow Healthcare Group Pa, Sondermind Provider Network Llc, Grow Healthcare Group Pa and her current practice location is
4906 Lowell Dr, Ave Maria, Florida. You can reach out to her office (for appointments etc.) via phone at
(239) 281-4365.
Mrs Kelli Adams is licensed to practice in Florida (license number SW11799) 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 1912597956.
Healthcare Provider's Profile
| Full Name | Mrs Kelli Adams |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 30 Years |
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| Location | 4906 Lowell Dr, Ave Maria, Florida |
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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. |
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Medical Education and Training:
- Mrs Kelli Adams graduated from medical school in 1995
NPI Data:
- NPI Number: 1912597956
- Provider Enumeration Date: 01/23/2021
- Last Update Date: 01/23/2021
Medicare PECOS Information:
- PECOS PAC ID: 5991112427
- Enrollment ID: I20210330002525
Medical Identifiers
Medical identifiers for Mrs Kelli Adams such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1912597956 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1041C0700X | Social Worker - Clinical | I.1101380 (Ohio) | Secondary |
| 1041C0700X | Social Worker - Clinical | SW11799 (Florida) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Grow Healthcare Group Pa | 3476961368 | 369 |
| Sondermind Provider Network Llc | 9537572490 | 485 |
| Grow Healthcare Group Pa | 3476961368 | 369 |
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 Kelli Adams allows following entities to bill medicare on her behalf.
| Entity Name | Sondermind Provider Network Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1760854442
PECOS PAC ID: 9537572490
Enrollment ID: O20210316002509 |
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| Entity Name | Grow Healthcare Group Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245845932
PECOS PAC ID: 3476961368
Enrollment ID: O20220604000326 |
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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 Kelli Adams 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 Kelli Adams, LCSW LISW
4906 Lowell Dr,
Ave Maria, FL 34142-9573
Ph: (239) 281-4365 | Mrs Kelli Adams, LCSW LISW
4906 Lowell Dr,
Ave Maria, FL 34142-9573
Ph: (239) 281-4365 |
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