Paul Andrew Kelvington, LCSW,LCPC is a medicare enrolled "Social Worker - Clinical" provider in Chicago, Illinois. His current practice location is
654 1/2 W Oakdale Ave, #1w, Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at
(773) 666-3022.
Paul Andrew Kelvington is licensed to practice in Illinois (license number 149.015592) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1255739504.
Healthcare Provider's Profile
Full Name | Paul Andrew Kelvington |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 654 1/2 W Oakdale Ave, Chicago, Illinois |
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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: 1255739504
- Provider Enumeration Date: 12/18/2014
- Last Update Date: 12/18/2014
Medicare PECOS Information:
- PECOS PAC ID: 0345680922
- Enrollment ID: I20240430001252
Medical Identifiers
Medical identifiers for Paul Andrew Kelvington such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1255739504 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | 180.009378 (Illinois) | Secondary |
1041C0700X | Social Worker - Clinical | 149.015592 (Illinois) | 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. Paul Andrew Kelvington allows following entities to bill medicare on his behalf.
Entity Name | Advocate North Side Health Network |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1912014564 PECOS PAC ID: 9537063904 Enrollment ID: O20230905000189 |
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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. Paul Andrew Kelvington 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 |
Paul Andrew Kelvington, LCSW,LCPC 654 1/2 W Oakdale Ave, #1w, Chicago, IL 60657-5370 Ph: (773) 666-3022 | Paul Andrew Kelvington, LCSW,LCPC 654 1/2 W Oakdale Ave, #1w, Chicago, IL 60657-5370 Ph: (773) 666-3022 |
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