Kelley Lynn Gavigan, LMSW in West Bloomfield, MI - Medicare Social Worker Provider

Kelley Lynn Gavigan, LMSW is a medicare enrolled "Social Worker - Clinical" provider in West Bloomfield, Michigan. Her current practice location is 7125 Orchard Lake Rd Ste 110, West Bloomfield, Michigan. You can reach out to her office (for appointments etc.) via phone at (248) 702-6132.

Kelley Lynn Gavigan is licensed to practice in Michigan (license number 6801109616) 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 1518483189.

Contact Information

	Kelley Lynn Gavigan, LMSW
	7125 Orchard Lake Rd Ste 110, West Bloomfield, MI 48322-3616
	(248) 702-6132
	(248) 702-6133

Map and Direction

Healthcare Provider's Profile

Full Name	Kelley Lynn Gavigan
Gender	Female
Speciality	Social Worker - Clinical
Location	7125 Orchard Lake Rd Ste 110, West Bloomfield, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1518483189
Provider Enumeration Date: 08/16/2017
Last Update Date: 04/24/2025

Medicare PECOS Information:

PECOS PAC ID: 6608276662
Enrollment ID: I20210611002126

Medical Identifiers

Medical identifiers for Kelley Lynn Gavigan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518483189	NPI	-	NPPES
MI3861	Other	MI	MEDICARE
3382844061	Medicaid	MI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	6801101391 (Michigan)	Secondary
1041C0700X	Social Worker - Clinical	6801109616 (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. Kelley Lynn Gavigan allows following entities to bill medicare on her behalf.

Entity Name	Ismail B Sendi Md Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609882067 PECOS PAC ID: 4688674534 Enrollment ID: O20061228000140

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. Kelley Lynn Gavigan 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
Kelley Lynn Gavigan, LMSW 7125 Orchard Lake Rd Ste 110, West Bloomfield, MI 48322-3616 Ph: (248) 702-6132	Kelley Lynn Gavigan, LMSW 7125 Orchard Lake Rd Ste 110, West Bloomfield, MI 48322-3616 Ph: (248) 702-6132

Reviews and Comments

Social Worker in West Bloomfield, MI

Shari-beth Goldman, LMSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 6555 W Maple Rd, West Bloomfield, MI 48322 Phone: 248-592-2300 Fax: 248-592-2340
Ms. Michelle Klein, MSW,CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6020 W Maple Rd Ste 501, West Bloomfield, MI 48322 Phone: 248-932-4325
Natasha Castelvetere, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7096 Orchard Lake Rd, West Bloomfield, MI 48322 Phone: 616-328-6600
Sarah Dubuc, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 6555 W Maple Rd, West Bloomfield, MI 48322 Phone: 248-592-2300
Mr. Sebastian Bach Fastrich, LCSW, LMSW, MCAP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6773 W Maple Rd, West Bloomfield, MI 48322 Phone: 248-788-3033 Fax: 248-661-7347
Mrs. Laurel Jean Rebenstock, LMSW, CAADC Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 5600 W Maple Rd Ste B212, West Bloomfield, MI 48322 Phone: 248-605-5049
Mrs. Lisa Weingarden Kaplan, LMSW, CAADC, ACSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6773 W Maple Rd, West Bloomfield, MI 48322 Phone: 248-788-3005 Fax: 248-661-6184

Kelley Lynn Gavigan, LMSW - Medicare Clinical Social Worker in West Bloomfield, MI