Ms Star Kelley, LCSW in Flagstaff, AZ - Medicare Social Worker Provider

Ms Star Kelley, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Flagstaff, Arizona. Her current practice location is 2920 N 4th St, Flagstaff, Arizona. You can reach out to her office (for appointments etc.) via phone at (928) 522-9685.

Ms Star Kelley is licensed to practice in Arizona (license number LCSW 3687) 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 1043648082.

Contact Information

	Ms Star Kelley, LCSW
	2920 N 4th St, Flagstaff, AZ 86004-1816
	(928) 522-9685
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Star Kelley
Gender	Female
Speciality	Social Worker - Clinical
Location	2920 N 4th St, Flagstaff, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043648082
Provider Enumeration Date: 10/30/2013
Last Update Date: 10/30/2013

Medicare PECOS Information:

PECOS PAC ID: 1456588474
Enrollment ID: I20131219001807

Medical Identifiers

Medical identifiers for Ms Star Kelley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043648082	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LCSW 3687 (Arizona)	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 Star Kelley allows following entities to bill medicare on her behalf.

Entity Name	North Country Healthcare Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073583472 PECOS PAC ID: 8820981053 Enrollment ID: O20040210001107

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 Star Kelley 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 Star Kelley, LCSW 2920 N 4th St, Flagstaff, AZ 86004-1816 Ph: (928) 522-9685	Ms Star Kelley, LCSW 2920 N 4th St, Flagstaff, AZ 86004-1816 Ph: (928) 522-9685

Reviews and Comments

Social Worker in Flagstaff, AZ

Mrs. Kathryn Louise Peterson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 115 E Birch Ave, Flagstaff, AZ 86001 Phone: 928-213-0068 Fax: 928-774-4367
Mrs. Tempest Smith, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2801 N Izabel St, Flagstaff, AZ 86004 Phone: 928-773-8200
Candace Stewart, MSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2187 N Vickey St, Flagstaff, AZ 86004 Phone: 928-714-6401 Fax: 928-714-6480
Molly Elizabeth Haak, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 320 N Leroux St Ste C, Flagstaff, AZ 86001 Phone: 289-864-7250
Hannah Bennett, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1500 E Cedar Ave Ste 26, Flagstaff, AZ 86004 Phone: 928-773-1245
Cherise Elizabeth Grimit Hovis, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6145 E Treadway Trl, Flagstaff, AZ 86004 Phone: 928-773-8270

Ms Star Kelley, LCSW - Medicare Clinical Social Worker in Flagstaff, AZ