Carlee Renee Kelly, LCSW - Medicare Clinical Social Worker in Dixon, IL

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Carlee Renee Kelly, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Dixon, Illinois. Her current practice location is 403 E 1st St, Dixon, Illinois. You can reach out to her office (for appointments etc.) via phone at (815) 285-5631.

Carlee Renee Kelly is licensed to practice in Illinois (license number 149026898) 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 1164259842.

Contact Information

Carlee Renee Kelly, LCSW
403 E 1st St,
Dixon, IL 61021-3116
(815) 285-5631
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameCarlee Renee Kelly
GenderFemale
SpecialitySocial Worker - Clinical
Location403 E 1st St, Dixon, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1164259842
  • Provider Enumeration Date: 09/17/2024
  • Last Update Date: 09/17/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 4789116799
  • Enrollment ID: I20241016000327

Medical Identifiers

Medical identifiers for Carlee Renee Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164259842NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 149026898 (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. Carlee Renee Kelly allows following entities to bill medicare on her behalf.
Entity NameKsb Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073592119
PECOS PAC ID: 7911890009
Enrollment ID: O20040203000860
Entity NameKatherine Shaw Bethea Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427043546
PECOS PAC ID: 2264480037
Enrollment ID: O20081218000029
Entity NameOsf Multi-specialty Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922445527
PECOS PAC ID: 3678889789
Enrollment ID: O20150904000279

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. Carlee Renee 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 AddressPractice Location Address
Carlee Renee Kelly, LCSW
403 E 1st St,
Dixon, IL 61021-3116

Ph: (815) 285-5631		Carlee Renee Kelly, LCSW
403 E 1st St,
Dixon, IL 61021-3116

Ph: (815) 285-5631

Reviews and Comments


Social Worker in Dixon, IL

Ms. Natalie A Andrews, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 325 Il Route 2, Dixon, IL 61021
Phone: 815-284-6611    
Chelsea Smith, LCSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 325 Illinois Rt 2, Dixon, IL 61021
Phone: 815-284-6611    
Kristina Rebelsky, LISW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 325 Il Route 2, Dixon, IL 61021
Phone: 815-284-6611    
Marissa Elaine Krager,
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1008 Mary Ave, Dixon, IL 61021
Phone: 815-973-8963    
Dr. Donette C Considine, PH.D., MSW, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1254 N Galena Ave, Suite C, Dixon, IL 61021
Phone: 630-721-0230    
Michelle-renee Emery Spinden, MSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 325 Illinois Rt 2, Dixon, IL 61021
Phone: 815-284-6611    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.