Amanda H Kelley, is a medicare enrolled "Social Worker - Clinical" provider in Star City, Arkansas. She graduated from medical school in 2015 and has 11 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Mainline Health Systems Inc and 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
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and 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 | Clinical Social Worker |
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| Experience | 11 Years |
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| Location | 110 N Drew St, Star City, Arkansas |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Amanda H Kelley graduated from medical school in 2015
NPI Data:
- NPI Number: 1023587524
- Provider Enumeration Date: 11/14/2018
- Last Update Date: 03/26/2026
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 |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Mainline Health Systems Inc | 5193785590 | 56 |
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, 342 Highway 425 S, Monticello, AR 71655-4612 Ph: (870) 942-3000 | Amanda H Kelley, 110 N Drew St, Star City, AR 71667 Ph: (870) 628-5110 |
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