Kelsey Ann Martin, LCSW, CSAC, ICS is a medicare enrolled "Social Worker - Clinical" provider in Onalaska, Wisconsin. She went to University Of Wisconsin School Of Medicine and graduated in 2014 and has 11 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Winona Health Services and her current practice location is
571 Braund St, Onalaska, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(608) 785-7000.
Kelsey Ann Martin is licensed to practice in Wisconsin (license number 9224) 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 1104329432.
Healthcare Provider's Profile
| Full Name | Kelsey Ann Martin |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 11 Years |
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| Location | 571 Braund St, Onalaska, Wisconsin |
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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:
- Kelsey Ann Martin attended and graduated from University Of Wisconsin School Of Medicine in 2014
NPI Data:
- NPI Number: 1104329432
- Provider Enumeration Date: 03/13/2018
- Last Update Date: 02/17/2021
Medicare PECOS Information:
- PECOS PAC ID: 4880001569
- Enrollment ID: I20210326000262
Medical Identifiers
Medical identifiers for Kelsey Ann Martin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104329432 | NPI | - | NPPES |
| 100076316 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 9224 (Wisconsin) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Winona Health Services | 8527977420 | 101 |
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. Kelsey Ann Martin allows following entities to bill medicare on her behalf.
| Entity Name | Winona Health Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1295789352
PECOS PAC ID: 8527977420
Enrollment ID: O20040106000260 |
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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. Kelsey Ann Martin 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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Kelsey Ann Martin, LCSW, CSAC, ICS
1419 Island St,
La Crosse, WI 54603-2848
Ph: (920) 420-4919 | Kelsey Ann Martin, LCSW, CSAC, ICS
571 Braund St,
Onalaska, WI 54650-8556
Ph: (608) 785-7000 |
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