Kellie Adrienne Ebberup-krug, LCSW in Whiteman Afb, MO

Kellie Adrienne Ebberup-krug, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Whiteman Afb, Missouri. Her current practice location is 930 Morgan Drive, Whiteman Afb, Missouri. You can reach out to her office (for appointments etc.) via phone at (901) 336-2626.

Kellie Adrienne Ebberup-krug is licensed to practice in Missouri (license number 2019038935) 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 1275177255.

Contact Information

	Kellie Adrienne Ebberup-krug, LCSW
	930 Morgan Drive, Whiteman Afb, MO 65305-1180
	(901) 336-2626
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kellie Adrienne Ebberup-krug
Gender	Female
Speciality	Social Worker - Clinical
Location	930 Morgan Drive, Whiteman Afb, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275177255
Provider Enumeration Date: 11/01/2019
Last Update Date: 12/06/2019

Medicare PECOS Information:

PECOS PAC ID: 2668893991
Enrollment ID: I20200522000167

Medical Identifiers

Medical identifiers for Kellie Adrienne Ebberup-krug such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275177255	NPI	-	NPPES
490077188	Medicaid	MO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	2019038935 (Missouri)	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. Kellie Adrienne Ebberup-krug allows following entities to bill medicare on her behalf.

Entity Name	Faspsych Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831682111 PECOS PAC ID: 2860818929 Enrollment ID: O20201023000137

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. Kellie Adrienne Ebberup-krug 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
Kellie Adrienne Ebberup-krug, LCSW 930 Morgan Drive, Whiteman Afb, MO 65305-1180 Ph: (901) 336-2626	Kellie Adrienne Ebberup-krug, LCSW 930 Morgan Drive, Whiteman Afb, MO 65305-1180 Ph: (901) 336-2626

Reviews and Comments

Social Worker in Whiteman Afb, MO

Ms. Whitney Nicole Brooks, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 331 Sijan Ave, Whiteman Afb, MO 65305 Phone: 660-687-7222
Jessie Benfield-boik, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 331 Sijen Ave Bldg 2032, Whiteman Afb, MO 65305 Phone: 660-687-4341 Fax: 660-687-5256
Holly Denise Fitzpatrick, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 331 Sijen Ave, Whiteman Afb, MO 65305 Phone: 660-687-4341
Mrs. Deborah Ann Nichols, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 509 Mdg, 331 Sijan Avenue, Whiteman Afb, MO 65305 Phone: 660-687-4412
Ms. Carol Louise Ameline, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 331 Sijan Ave, Whiteman Afb, MO 65305 Phone: 660-687-3484
Adam Cochran Lynch, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 470 Vandenberg Ave Rm 114, Whiteman Afb, MO 65305 Phone: 660-687-1013

Kellie Adrienne Ebberup-krug, LCSW - Medicare Clinical Social Worker in Whiteman Afb, MO