Kiley Michelle Hoffman, LCSW is a medicare enrolled "Social Worker" provider in Mesa, Arizona. Her current practice location is
1111 S Stapley Dr, Mesa, Arizona. You can reach out to her office (for appointments etc.) via phone at
(602) 685-6000.
Kiley Michelle Hoffman is licensed to practice in Arizona (license number 21210) 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 1376975763.
Healthcare Provider's Profile
| Full Name | Kiley Michelle Hoffman |
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| Gender | Female |
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| Speciality | Social Worker |
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| Location | 1111 S Stapley Dr, Mesa, Arizona |
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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: 1376975763
- Provider Enumeration Date: 08/07/2013
- Last Update Date: 05/15/2023
Medicare PECOS Information:
- PECOS PAC ID: 1557744869
- Enrollment ID: I20230518002103
Medical Identifiers
Medical identifiers for Kiley Michelle Hoffman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1376975763 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | LMSW-13764 (Arizona) | Secondary |
| 1041C0700X | Social Worker - Clinical | 75988 (California) | Secondary |
| 104100000X | Social Worker | 21210 (Arizona) | 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. Kiley Michelle Hoffman allows following entities to bill medicare on her behalf.
| Entity Name | Terros, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1841498060
PECOS PAC ID: 8224077045
Enrollment ID: O20050429000811 |
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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. Kiley Michelle Hoffman 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 |
|---|
Kiley Michelle Hoffman, LCSW
3003 N Central Ave Ste 400,
Phoenix, AZ 85012-2929
Ph: (602) 685-6000 | Kiley Michelle Hoffman, LCSW
1111 S Stapley Dr,
Mesa, AZ 85204-5059
Ph: (602) 685-6000 |
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