Amanda H Kelley, is a medicare enrolled "Social Worker - Clinical" provider in Star City, Arkansas. Her current practice location is
110 N Drew St, Star City, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(870) 628-5110.
Amanda H Kelley is licensed to practice in Arkansas (license number 7724-C) 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 1023587524.
Healthcare Provider's Profile
| Full Name | Amanda H Kelley |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 110 N Drew St, Star City, Arkansas |
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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: 1023587524
- Provider Enumeration Date: 11/14/2018
- Last Update Date: 09/25/2025
Medicare PECOS Information:
- PECOS PAC ID: 6406188010
- Enrollment ID: I20191031002434
Medical Identifiers
Medical identifiers for Amanda H Kelley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1023587524 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1041C0700X | Social Worker - Clinical | 7724-C (Arkansas) | 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. Amanda H Kelley allows following entities to bill medicare on her behalf.
| Entity Name | Mainline Health Systems Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1164264834 PECOS PAC ID: 5193785590 Enrollment ID: O20041011000567 |
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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. Amanda H 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 |
Amanda H Kelley, Po Box 509, Dermott, AR 71638-0509 Ph: (870) 538-5414 | Amanda H Kelley, 110 N Drew St, Star City, AR 71667 Ph: (870) 628-5110 |
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