Theresa Waurzyniak Kelly, LMSW in Grand Blanc, MI - Medicare Clinical Social Worker Provider

Theresa Waurzyniak Kelly, LMSW is a medicare enrolled "Social Worker - Clinical" provider in Grand Blanc, Michigan. She graduated from medical school in 1983 and has 41 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Oakland Psychological Clinic Pc and her current practice location is 10785 S Saginaw St, Bldg. E, Ste. A, Grand Blanc, Michigan. You can reach out to her office (for appointments etc.) via phone at (810) 695-0055.

Theresa Waurzyniak Kelly is licensed to practice in Michigan (license number 6801018578) 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 1720527146.

Contact Information

	Theresa Waurzyniak Kelly, LMSW
	10785 S Saginaw St, Bldg. E, Ste. A, Grand Blanc, MI 48439-7003
	(810) 695-0055
	(810) 695-6813

Map and Direction

Healthcare Provider's Profile

Full Name	Theresa Waurzyniak Kelly
Gender	Female
Speciality	Clinical Social Worker
Experience	41 Years
Location	10785 S Saginaw St, Grand Blanc, Michigan
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Theresa Waurzyniak Kelly graduated from medical school in 1983

NPI Data:

NPI Number: 1720527146
Provider Enumeration Date: 02/17/2017
Last Update Date: 02/17/2017

Medicare PECOS Information:

PECOS PAC ID: 1052695152
Enrollment ID: I20170309002424

Medical Identifiers

Medical identifiers for Theresa Waurzyniak Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720527146	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	6801018578 (Michigan)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Oakland Psychological Clinic Pc	2163315086	40

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. Theresa Waurzyniak Kelly allows following entities to bill medicare on her behalf.

Entity Name	Oakland Psychological Clinic Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538356282 PECOS PAC ID: 2163315086 Enrollment ID: O20040507000830

Entity Name	Optum Behavioral Care Of Colorado, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851161285 PECOS PAC ID: 0941648463 Enrollment ID: O20240423001699

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. Theresa Waurzyniak 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
Theresa Waurzyniak Kelly, LMSW 12141 Townline Rd, Grand Blanc, MI 48439-1659 Ph: (810) 513-9017	Theresa Waurzyniak Kelly, LMSW 10785 S Saginaw St, Bldg. E, Ste. A, Grand Blanc, MI 48439-7003 Ph: (810) 695-0055

Reviews and Comments

Social Worker in Grand Blanc, MI

Rachel Johnson, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8240 Embury Rd, Grand Blanc, MI 48439 Phone: 810-777-2000
Jennifer Ann Dearmond, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 8240 Embury Rd, Grand Blanc, MI 48439 Phone: 810-624-0234
Mr. Andrew Joseph Gagne, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8245 Holly Rd Ste 200, Grand Blanc, MI 48439 Phone: 810-242-3740
Mr. Brandon Lee Taylor, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7227 Fenton Rd, Grand Blanc, MI 48439 Phone: 810-771-4074
Lynn Lanee Stark, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9254 Vassar Rd, Grand Blanc, MI 48439 Phone: 989-723-5153
Denise Smith, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 8435 Holly Rd, Grand Blanc, MI 48439 Phone: 810-603-8800 Fax: 810-579-7222
Ms. Kathleen Mary Sanders, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1299 Heatherwood Dr Apt 1a, Grand Blanc, MI 48439 Phone: 810-348-7320

Theresa Waurzyniak Kelly, LMSW - Medicare Clinical Social Worker in Grand Blanc, MI