Patricia Kelly, LMSW is a medicare enrolled "Social Worker - Clinical" in Owosso, Michigan. Her current practice location is
1480 N M 52 Ste 1, Owosso, Michigan. You can reach out to her office (for appointments etc.) via phone at
(989) 723-8239.
Patricia Kelly is licensed to practice in Michigan (license number 6801100817) 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 1215302872.
Provider's Profile
Full Name | Patricia Kelly |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 1480 N M 52 Ste 1, Owosso, Michigan |
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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: 1215302872
- Provider Enumeration Date: 12/08/2015
- Last Update Date: 04/24/2024
Medicare PECOS Information:
- PECOS PAC ID: 5890030399
- Enrollment ID: I20200224002468
Medical Identifiers
Medical identifiers for Patricia Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1215302872 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 4703117696 (Michigan) | Secondary |
1041C0700X | Social Worker - Clinical | 6801100817 (Michigan) | 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. Patricia Kelly allows following entities to bill medicare on her behalf.
Entity Name | Downriver Mental Health Clinic Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1295866135 PECOS PAC ID: 7911995139 Enrollment ID: O20040505000533 |
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Entity Name | University Rehabilitation Alliance Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1528015336 PECOS PAC ID: 9133370430 Enrollment ID: O20130321000378 |
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Entity Name | Bcs Of Michigan Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1164816195 PECOS PAC ID: 0840503652 Enrollment ID: O20150723007021 |
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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. Patricia Kelly 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 |
Patricia Kelly, LMSW 901 Chippewa St, Flint, MI 48503-1552 Ph: (810) 232-9950 | Patricia Kelly, LMSW 1480 N M 52 Ste 1, Owosso, MI 48867-1025 Ph: (989) 723-8239 |
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