Tracey D Kelley, MSW LCSW in Evansville, IN - Medicare Social Worker Provider

Tracey D Kelley, MSW LCSW is a medicare enrolled "Social Worker - Clinical" provider in Evansville, Indiana. His current practice location is 60 S Stockwell Rd, Evansville, Indiana. You can reach out to his office (for appointments etc.) via phone at (812) 476-5437.

Tracey D Kelley is licensed to practice in Indiana (license number 34000059A) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1306857438.

Contact Information

	Tracey D Kelley, MSW LCSW
	60 S Stockwell Rd, Evansville, IN 47714-0247
	(812) 476-5437
	(812) 422-7558

Map and Direction

Healthcare Provider's Profile

Full Name	Tracey D Kelley
Gender	Male
Speciality	Social Worker - Clinical
Location	60 S Stockwell Rd, Evansville, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306857438
Provider Enumeration Date: 08/11/2006
Last Update Date: 10/09/2015

Medicare PECOS Information:

PECOS PAC ID: 5294869228
Enrollment ID: I20100812000952

Medical Identifiers

Medical identifiers for Tracey D Kelley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306857438	NPI	-	NPPES
839090FFF	Other	IN	MEDICARE
800006285	Other	IN	RAILROAD
100240880	Medicaid	IN
11490321	Other	IN	CAQH
000000177009	Other	IN	ANTHEM

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	34000059A (Indiana)	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. Tracey D Kelley allows following entities to bill medicare on his behalf.

Entity Name	Southwestern Behavioral Healthcare, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033108766 PECOS PAC ID: 7315842309 Enrollment ID: O20031203000451

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. Tracey D 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
Tracey D Kelley, MSW LCSW 415 Mulberry St, Evansville, IN 47713-1230 Ph: (812) 423-7791	Tracey D Kelley, MSW LCSW 60 S Stockwell Rd, Evansville, IN 47714-0247 Ph: (812) 476-5437

Reviews and Comments

Social Worker in Evansville, IN

Laura M Faulkner, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4001 John St, Evansville, IN 47714 Phone: 812-473-3144 Fax: 812-422-7558
Brittany Bailey, MSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4001 John St, Evansville, IN 47714 Phone: 813-473-3144
Madelynn R Wiethop, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 7144 E Virginia St Ste C, Evansville, IN 47715 Phone: 812-479-1242
Cody Fenwick, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1133 Lincoln Ave, Evansville, IN 47714 Phone: 812-491-2615
Teresa A Mercer, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 7200 E Indiana St, Evansville, IN 47715 Phone: 812-476-7200 Fax: 812-471-4514
Ramona L. Wilzbacher, MSW, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 60 S. Stockwell Road, Evansville, IN 47714 Phone: 812-476-5437 Fax: 812-422-7558
Ashley Williams, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1133 Lincoln Ave, Evansville, IN 47714 Phone: 812-491-2615

Tracey D Kelley, MSW LCSW - Medicare Clinical Social Worker in Evansville, IN