Mrs Michelle R Kelly, LCSW in South Jordan, UT - Medicare Social Worker Provider

Mrs Michelle R Kelly, LCSW is a medicare enrolled "Social Worker - Clinical" provider in South Jordan, Utah. Her current practice location is 10459 S Temple Dr Ste 102, South Jordan, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 432-0778.

Mrs Michelle R Kelly is licensed to practice in Utah (license number 7061940-3501) 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 1184489924.

Contact Information

	Mrs Michelle R Kelly, LCSW
	10459 S Temple Dr Ste 102, South Jordan, UT 84095-8930
	(801) 432-0778
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Michelle R Kelly
Gender	Female
Speciality	Social Worker - Clinical
Location	10459 S Temple Dr Ste 102, South Jordan, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184489924
Provider Enumeration Date: 02/20/2024
Last Update Date: 02/20/2024

Medicare PECOS Information:

PECOS PAC ID: 0143669614
Enrollment ID: I20240416004083

Medical Identifiers

Medical identifiers for Mrs Michelle R Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184489924	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	7061940-3501 (Utah)	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 Michelle R Kelly allows following entities to bill medicare on her behalf.

Entity Name	Bmsc Az Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497201875 PECOS PAC ID: 4385929173 Enrollment ID: O20180801003151

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 Michelle R 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 Michelle R Kelly, LCSW 10459 S Temple Dr Ste 102, South Jordan, UT 84095-8930 Ph: (801) 432-0778	Mrs Michelle R Kelly, LCSW 10459 S Temple Dr Ste 102, South Jordan, UT 84095-8930 Ph: (801) 432-0778

Reviews and Comments

Social Worker in South Jordan, UT

Mr. Robert Wimmer, LCSW., MSCJA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10087 S Copper Pit Cir, South Jordan, UT 84095 Phone: 385-439-3674
Jory Woodrow Hatfield, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1206 W South Jordan Pkwy Ste D, South Jordan, UT 84095 Phone: 801-302-3801 Fax: 801-302-7248
Jacob K Vickrey, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 11748 S 3600 W Ste 3, South Jordan, UT 84095 Phone: 801-896-8133
Brooke Jensen, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1206 W South Jordan Pkwy Ste D, South Jordan, UT 84095 Phone: 801-302-3801
Rebecca Lovell, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1108 W South Jordan Pkwy Ste B, South Jordan, UT 84095 Phone: 801-558-5435
Ms. Kristie Lee Jensen, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10434 S 1055 W Unit 201, South Jordan, UT 84095 Phone: 801-655-5450
David O. Weber Iii, L.C.S.W./M.S. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9910 S Redwood Rd, South Jordan, UT 84095 Phone: 801-253-0770

Mrs Michelle R Kelly, LCSW - Medicare Clinical Social Worker in South Jordan, UT