Kelsie Jane Lindgren, is a medicare enrolled "Social Worker - Clinical" provider in New Haven, Connecticut. Her current practice location is
136 Sherman Ave, New Haven, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(203) 586-4264.
Kelsie Jane Lindgren is licensed to practice in Connecticut (license number 11170) 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 1841712601.
Healthcare Provider's Profile
| Full Name | Kelsie Jane Lindgren |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 136 Sherman Ave, New Haven, Connecticut |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1841712601
- Provider Enumeration Date: 07/13/2017
- Last Update Date: 09/21/2023
Medicare PECOS Information:
- PECOS PAC ID: 0648628933
- Enrollment ID: I20231127003282
Medical Identifiers
Medical identifiers for Kelsie Jane Lindgren such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1841712601 | NPI | - | NPPES |
| 06-0669106 | Medicaid | CT | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 11170 (Connecticut) | 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. Kelsie Jane Lindgren allows following entities to bill medicare on her behalf.
| Entity Name | Thrive Counseling Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1215181300
PECOS PAC ID: 0749458420
Enrollment ID: O20200330002193 |
|---|
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. Kelsie Jane Lindgren 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 |
|---|
Kelsie Jane Lindgren,
180 Fairfield Ave,
Bridgeport, CT 06604-4252
Ph: () - | Kelsie Jane Lindgren,
136 Sherman Ave,
New Haven, CT 06511-5238
Ph: (203) 586-4264 |
Reviews and Comments