Ms Audrena R Kelley, LMSW is a medicare enrolled "Social Worker - Clinical" provider in Denton, Texas. Her current practice location is
3421 San Lucas Ln, Denton, Texas. You can reach out to her office (for appointments etc.) via phone at
(765) 631-3292.
Ms Audrena R Kelley is licensed to practice in Texas (license number 59582) 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 1184356057.
Healthcare Provider's Profile
Full Name | Ms Audrena R Kelley |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 3421 San Lucas Ln, Denton, Texas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1184356057
- Provider Enumeration Date: 06/28/2022
- Last Update Date: 04/19/2023
Medicare PECOS Information:
- PECOS PAC ID: 4880068428
- Enrollment ID: I20230321002320
Medical Identifiers
Medical identifiers for Ms Audrena R Kelley such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1184356057 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 59582 (Texas) | Secondary |
1041C0700X | Social Worker - Clinical | 59582 (Texas) | 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. Ms Audrena R Kelley allows following entities to bill medicare on her behalf.
Entity Name | Mental Health Services Of Denton |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1104560531 PECOS PAC ID: 6305214792 Enrollment ID: O20221115003453 |
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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. Ms Audrena R Kelley 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 |
Ms Audrena R Kelley, LMSW 3421 San Lucas Ln, Denton, TX 76208-6074 Ph: (765) 631-3292 | Ms Audrena R Kelley, LMSW 3421 San Lucas Ln, Denton, TX 76208-6074 Ph: (765) 631-3292 |
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