Kelli Mcdermott, LCSW in Bridgeport, CT - Medicare Social Worker Provider

Kelli Mcdermott, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Bridgeport, Connecticut. Her current practice location is 475 Clinton Ave, Bridgeport, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 368-4291.

Kelli Mcdermott is licensed to practice in Connecticut (license number 009266) 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 1265803472.

Contact Information

	Kelli Mcdermott, LCSW
	475 Clinton Ave, Bridgeport, CT 06605-1700
	(203) 368-4291
	(203) 368-9167

Map and Direction

Healthcare Provider's Profile

Full Name	Kelli Mcdermott
Gender	Female
Speciality	Social Worker - Clinical
Location	475 Clinton Ave, Bridgeport, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265803472
Provider Enumeration Date: 10/14/2015
Last Update Date: 10/14/2015

Medicare PECOS Information:

PECOS PAC ID: 5092019299
Enrollment ID: I20160209001474

Medical Identifiers

Medical identifiers for Kelli Mcdermott such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265803472	NPI	-	NPPES
004069985	Medicaid	CT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	009266 (Connecticut)	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. Kelli Mcdermott allows following entities to bill medicare on her behalf.

Entity Name	Lifebridge Community Services, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922006923 PECOS PAC ID: 4981595618 Enrollment ID: O20040323000475

Entity Name	Km Counseling Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033761200 PECOS PAC ID: 2961839782 Enrollment ID: O20200217001561

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. Kelli Mcdermott 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
Kelli Mcdermott, LCSW 475 Clinton Ave, Bridgeport, CT 06605-1700 Ph: (203) 368-4291	Kelli Mcdermott, LCSW 475 Clinton Ave, Bridgeport, CT 06605-1700 Ph: (203) 368-4291

Reviews and Comments

Social Worker in Bridgeport, CT

Ms. Christen A Richard, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1635 Central Avenue, Southwest Ct Mental Health System, Bridgeport, CT 06610 Phone: 203-551-7660 Fax: 203-551-7481
Kimberly Anne Foster, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 180 Fairfield Ave, Bridgeport, CT 06604 Phone: 201-317-2065
Jason Ruggiero, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 180 Fairfield Ave Fl 2, Bridgeport, CT 06604 Phone: 203-394-6529
Mrs. Gabriele Stefanie Paul, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1635 Central Ave, Southwest Ct Mental Health System, Bridgeport, CT 06610 Phone: 203-551-7660
Paula Dodge, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 170 Bennett St, Bridgeport, CT 06605 Phone: 203-690-5150
Shalishea Laws, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1 Lafayette Cir, Bridgeport, CT 06604 Phone: 203-258-1557
Ms. Alexza L Rubio, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Southwest Connecticut Mental Health System, 1635 Central Avenue, Bridgeport, CT 06610 Phone: 203-551-7660 Fax: 203-551-7481

Kelli Mcdermott, LCSW - Medicare Clinical Social Worker in Bridgeport, CT