Shanae Kelley, is a medicare enrolled "Social Worker - Clinical" provider in Indianapolis, Indiana. Her current practice location is
3505 Washington Blvd, Indianapolis, Indiana. You can reach out to her office (for appointments etc.) via phone at
(317) 920-5900.
Shanae Kelley is licensed to practice in Indiana (license number 34009041A) 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 1174715973.
Healthcare Provider's Profile
Full Name | Shanae Kelley |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 3505 Washington Blvd, Indianapolis, Indiana |
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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: 1174715973
- Provider Enumeration Date: 08/15/2007
- Last Update Date: 06/24/2023
Medicare PECOS Information:
- PECOS PAC ID: 7517327026
- Enrollment ID: I20230715000674
Medical Identifiers
Medical identifiers for Shanae Kelley such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1174715973 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 34009041A (Indiana) | 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. Shanae Kelley allows following entities to bill medicare on her behalf.
Entity Name | Thrive Counseling Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1215181300 PECOS PAC ID: 0749458420 Enrollment ID: O20210621001732 |
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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. Shanae 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 |
Shanae Kelley, 11186 Knightsbridge Ln, Fishers, IN 46037-9299 Ph: (317) 457-6186 | Shanae Kelley, 3505 Washington Blvd, Indianapolis, IN 46205-3718 Ph: (317) 920-5900 |
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