Kelly Quan Tran, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Alhambra, California. Her current practice location is
1635 W Main St # 100, Alhambra, California. You can reach out to her office (for appointments etc.) via phone at
(626) 248-1800.
Kelly Quan Tran is licensed to practice in California (license number LCSW124782) 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 1679133243.
Healthcare Provider's Profile
| Full Name | Kelly Quan Tran |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 1635 W Main St # 100, Alhambra, California |
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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: 1679133243
- Provider Enumeration Date: 06/17/2019
- Last Update Date: 08/05/2024
Medicare PECOS Information:
- PECOS PAC ID: 5597206045
- Enrollment ID: I20240924002351
Medical Identifiers
Medical identifiers for Kelly Quan Tran such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1679133243 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | 90068 (California) | Secondary |
| 104100000X | Social Worker | ACSW90068 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | ACSW90068 (California) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW124782 (California) | 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 Quan Tran allows following entities to bill medicare on her behalf.
| Entity Name | Special Service For Groups |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1952442949
PECOS PAC ID: 2769396886
Enrollment ID: O20031113000561 |
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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 Quan Tran 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 Quan Tran, LCSW
1635 W Main St # 100,
Alhambra, CA 91801-1951
Ph: () - | Kelly Quan Tran, LCSW
1635 W Main St # 100,
Alhambra, CA 91801-1951
Ph: (626) 248-1800 |
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