Ms Kelsey Erin Forrest, MSW, LCSWA in Charlotte, NC

Ms Kelsey Erin Forrest, MSW, LCSWA is a medicare enrolled "Social Worker - Clinical" provider in Charlotte, North Carolina. Her current practice location is 5701 Executive Center Dr Ste 108, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at (170) 456-34103.

Ms Kelsey Erin Forrest is licensed to practice in North Carolina (license number P010591) 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 1881119824.

Contact Information

	Ms Kelsey Erin Forrest, MSW, LCSWA
	5701 Executive Center Dr Ste 108, Charlotte, NC 28212-8836
	(170) 456-34103
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Kelsey Erin Forrest
Gender	Female
Speciality	Social Worker - Clinical
Location	5701 Executive Center Dr Ste 108, Charlotte, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1881119824
Provider Enumeration Date: 08/10/2017
Last Update Date: 08/10/2017

Medicare PECOS Information:

PECOS PAC ID: 2365864667
Enrollment ID: I20200615001189

Medical Identifiers

Medical identifiers for Ms Kelsey Erin Forrest such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881119824	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	P010591 (North Carolina)	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. Ms Kelsey Erin Forrest allows following entities to bill medicare on her behalf.

Entity Name	University Of North Carolina At Chapel Hill
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780669200 PECOS PAC ID: 0648181156 Enrollment ID: O20031105000359

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. Ms Kelsey Erin Forrest 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
Ms Kelsey Erin Forrest, MSW, LCSWA 5701 Executive Center Dr Ste 108, Charlotte, NC 28212-8836 Ph: (170) 456-34103	Ms Kelsey Erin Forrest, MSW, LCSWA 5701 Executive Center Dr Ste 108, Charlotte, NC 28212-8836 Ph: (170) 456-34103

Reviews and Comments

Social Worker in Charlotte, NC

Ms. Latonya Latrice Pompey, MSW, P-LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5633 Monroe Rd, Suite D, Charlotte, NC 28212 Phone: 843-356-0719
Miss Meredith Canty Anderson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2512 Wingdale Dr, Charlotte, NC 28213 Phone: 843-230-6359
Anastashia Natasha Brown, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3541 Randolph Rd, Ste 210, Charlotte, NC 28211 Phone: 704-381-8336
Denise Doster, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10801 Johnston Rd, Suite 227, Charlotte, NC 28226 Phone: 980-299-1277
Sara Charles Goguen, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2125 Southend Dr, Suite 452, Charlotte, NC 28203 Phone: 704-378-1390 Fax: 704-378-1392
Mr. Andre Maurice Harvey, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9711 David Taylor Dr Apt 104, Charlotte, NC 28262 Phone: 980-202-2526
Melissa Elder, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3111 Springbank Ln, Suite G, Charlotte, NC 28226 Phone: 980-288-8595

Ms Kelsey Erin Forrest, MSW, LCSWA - Medicare Clinical Social Worker in Charlotte, NC