Kelly Chipemba, LISW-S, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Jber, Alaska. Her current practice location is
673 Mdg, 5955 Zeamer Ave, Jber, Alaska. You can reach out to her office (for appointments etc.) via phone at
(928) 674-7166.
Kelly Chipemba is licensed to practice in * (Not Available) (license number ) 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 1750832135.
Healthcare Provider's Profile
| Full Name | Kelly Chipemba |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 673 Mdg, Jber, Alaska |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1750832135
- Provider Enumeration Date: 10/20/2016
- Last Update Date: 09/20/2023
Medicare PECOS Information:
- PECOS PAC ID: 1456768787
- Enrollment ID: I20210401001161
Medical Identifiers
Medical identifiers for Kelly Chipemba such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1750832135 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | I.0009969-S (Ohio) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | 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. Kelly Chipemba allows following entities to bill medicare on her behalf.
| Entity Name | Navajo Health Foundation-sage Memorial Hospital, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1477735777
PECOS PAC ID: 2163332347
Enrollment ID: O20040326001225 |
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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 Chipemba 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 |
|---|
Kelly Chipemba, LISW-S, LCSW
673 Mdg, 5955 Zeamer Ave,
Jber, AK 99506
Ph: (928) 755-4586 | Kelly Chipemba, LISW-S, LCSW
673 Mdg, 5955 Zeamer Ave,
Jber, AK 99506
Ph: (928) 674-7166 |
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