Brad Kelley, LCSW, LCAC is a medicare enrolled "Social Worker - Clinical" provider in Richmond, Indiana. His current practice location is
516 National Rd W, Richmond, Indiana. You can reach out to his office (for appointments etc.) via phone at
(765) 914-9116.
Brad Kelley is licensed to practice in Indiana (license number 34006759A) 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 1154490316.
Healthcare Provider's Profile
| Full Name | Brad Kelley |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 516 National Rd W, Richmond, Indiana |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1154490316
- Provider Enumeration Date: 11/06/2006
- Last Update Date: 11/24/2013
Medicare PECOS Information:
- PECOS PAC ID: 7315187903
- Enrollment ID: I20210610002262
Medical Identifiers
Medical identifiers for Brad Kelley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1154490316 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 87000659A (Indiana) | Secondary |
| 1041C0700X | Social Worker - Clinical | 34006759A (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. Brad Kelley allows following entities to bill medicare on his behalf.
| Entity Name | Recovery Priority Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1932493186 PECOS PAC ID: 6507006194 Enrollment ID: O20130702000340 |
|---|
| Entity Name | Sondermind Provider Network Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210416002216 |
|---|
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. Brad 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 |
Brad Kelley, LCSW, LCAC 516 National Rd W, Richmond, IN 47374-4018 Ph: (765) 914-9116 | Brad Kelley, LCSW, LCAC 516 National Rd W, Richmond, IN 47374-4018 Ph: (765) 914-9116 |
Reviews and Comments