Kelly Ann Belczyk, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Bend, Oregon. She graduated from healthcare school in 2006 and has 18 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Deschutes County Oregon and her current practice location is
1128 Nw Harriman St, Bend, Oregon. You can reach out to her office (for appointments etc.) via phone at
(541) 330-4637.
Kelly Ann Belczyk is licensed to practice in Oregon (license number L5440) 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 1548592298.
Healthcare Provider's Profile
| Full Name | Kelly Ann Belczyk |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 18 Years |
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| Location | 1128 Nw Harriman St, Bend, Oregon |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kelly Ann Belczyk graduated from medical school in 2006
NPI Data:
- NPI Number: 1548592298
- Provider Enumeration Date: 02/05/2010
- Last Update Date: 09/17/2012
Medicare PECOS Information:
- PECOS PAC ID: 9335385616
- Enrollment ID: I20130410000413
Medical Identifiers
Medical identifiers for Kelly Ann Belczyk such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1548592298 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | L5440 (Oregon) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Deschutes County Oregon | 9638083371 | 41 |
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. Kelly Ann Belczyk allows following entities to bill medicare on her behalf.
| Entity Name | Deschutes County Oregon |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1235172180
PECOS PAC ID: 9638083371
Enrollment ID: O20031117000568 |
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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. Kelly Ann Belczyk 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 |
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Kelly Ann Belczyk, LCSW
165 Ne 10th St,
Bend, OR 97701-5142
Ph: (541) 317-3173 | Kelly Ann Belczyk, LCSW
1128 Nw Harriman St,
Bend, OR 97701-1947
Ph: (541) 330-4637 |
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