Mrs Cheryl Kelstrom-smith, LCSW in Roy, UT - Medicare Counselor Provider

Mrs Cheryl Kelstrom-smith, LCSW is a medicare enrolled "Counselor - Mental Health" provider in Roy, Utah. Her current practice location is 5522 S 3100 W, Roy, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 710-9986.

Mrs Cheryl Kelstrom-smith is licensed to practice in Utah (license number 47306713501) 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 1740335850.

Contact Information

	Mrs Cheryl Kelstrom-smith, LCSW
	5522 S 3100 W, Roy, UT 84067-9456
	(801) 710-9986
	(385) 393-8624

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Cheryl Kelstrom-smith
Gender	Female
Speciality	Counselor - Mental Health
Location	5522 S 3100 W, Roy, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1740335850
Provider Enumeration Date: 01/25/2007
Last Update Date: 01/12/2023

Medicare PECOS Information:

PECOS PAC ID: 0042117020
Enrollment ID: I20031217000775

Medical Identifiers

Medical identifiers for Mrs Cheryl Kelstrom-smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740335850	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	47306713501 (Utah)	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. Mrs Cheryl Kelstrom-smith allows following entities to bill medicare on her behalf.

Entity Name	Cheryl Kelstrom-smith Lcsw Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417235284 PECOS PAC ID: 5395915466 Enrollment ID: O20110827000009

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. Mrs Cheryl Kelstrom-smith 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
Mrs Cheryl Kelstrom-smith, LCSW 5522 S 3100 W, Roy, UT 84067-9456 Ph: (801) 710-9986	Mrs Cheryl Kelstrom-smith, LCSW 5522 S 3100 W, Roy, UT 84067-9456 Ph: (801) 710-9986

Reviews and Comments

Counselor in Roy, UT

Jennifer Bright, BCBA, LBA, CMHC,LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4881 S 1900 W, Roy, UT 84067 Phone: 385-426-9644 Fax: 801-797-2630
Alison Percy, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1858 W 5150 S, Roy, UT 84067 Phone: 801-255-5131
Lisa Eberly, BCABA, LABA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1858 W 5150 S, Roy, UT 84067 Phone: 801-255-5131 Fax: 801-658-0604
Alyssa Thackeray, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1858 W 5150 S Ste 504, Roy, UT 84067 Phone: 801-255-5131
Earl M. Cammack Jr., MSW, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 4484 So. 1900 West, Suite 6, Roy, UT 84067 Phone: 801-732-1222 Fax: 801-689-7199
Ms. Amber T Carlston, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4437 S 1630 W, Roy, UT 84067 Phone: 801-557-9972 Fax: 801-557-9972

Mrs Cheryl Kelstrom-smith, LCSW - Medicare Counselor in Roy, UT