Ms Shelly L Kennedy, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Marlborough, Connecticut. Her current practice location is
9 Austin Dr Ste 201, Marlborough, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(860) 300-6700.
Ms Shelly L Kennedy is licensed to practice in Connecticut (license number 007381) 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 1437446119.
Healthcare Provider's Profile
Full Name | Ms Shelly L Kennedy |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 9 Austin Dr Ste 201, Marlborough, Connecticut |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1437446119
- Provider Enumeration Date: 07/01/2011
- Last Update Date: 10/18/2023
Medicare PECOS Information:
- PECOS PAC ID: 6406022383
- Enrollment ID: I20111224000000
Medical Identifiers
Medical identifiers for Ms Shelly L Kennedy such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1437446119 | NPI | - | NPPES |
1437446119 | Medicaid | CT | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 007381 (Connecticut) | 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 Shelly L Kennedy allows following entities to bill medicare on her behalf.
Entity Name | Seeds Of Hope Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1831615616 PECOS PAC ID: 1052671039 Enrollment ID: O20180213000917 |
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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. Ms Shelly L Kennedy 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 Shelly L Kennedy, LCSW Po Box 623, Harwich Port, MA 02646-0623 Ph: (860) 300-6700 | Ms Shelly L Kennedy, LCSW 9 Austin Dr Ste 201, Marlborough, CT 06447-1375 Ph: (860) 300-6700 |
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