Kellie C Bernal Delgado, LICSW in Maple Grove, MN - Medicare Social Worker Provider

Kellie C Bernal Delgado, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Maple Grove, Minnesota. Her current practice location is 11671 Fountains Dr Ste 200, Maple Grove, Minnesota. You can reach out to her office (for appointments etc.) via phone at (612) 223-8898.

Kellie C Bernal Delgado is licensed to practice in Minnesota (license number 27288) 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 1235804113.

Contact Information

	Kellie C Bernal Delgado, LICSW
	11671 Fountains Dr Ste 200, Maple Grove, MN 55369-4784
	(612) 223-8898
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kellie C Bernal Delgado
Gender	Female
Speciality	Social Worker - Clinical
Location	11671 Fountains Dr Ste 200, Maple Grove, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235804113
Provider Enumeration Date: 08/12/2021
Last Update Date: 04/30/2024

Medicare PECOS Information:

PECOS PAC ID: 9133567589
Enrollment ID: I20240403003465

Medical Identifiers

Medical identifiers for Kellie C Bernal Delgado such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235804113	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	27288 (Minnesota)	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 C Bernal Delgado allows following entities to bill medicare on her behalf.

Entity Name	Care Clinics Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851716245 PECOS PAC ID: 7517181266 Enrollment ID: O20140619000479

Entity Name	Optum Behavioral Care Of Colorado, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124898556 PECOS PAC ID: 0941648463 Enrollment ID: O20240725003342

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 C Bernal Delgado 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 C Bernal Delgado, LICSW 11671 Fountains Dr Ste 200, Maple Grove, MN 55369-4784 Ph: (612) 223-8898	Kellie C Bernal Delgado, LICSW 11671 Fountains Dr Ste 200, Maple Grove, MN 55369-4784 Ph: (612) 223-8898

Reviews and Comments

Social Worker in Maple Grove, MN

Kathryn Schuster, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 11280 86th Ave N, Maple Grove, MN 55369 Phone: 763-400-7828 Fax: 763-400-7444
Amos Koukou, MSW, LGSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 13603 80th Cir N, Maple Grove, MN 55369 Phone: 763-274-3120
Ms. Paula A Monson, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6924 Xene Ln N, Maple Grove, MN 55311 Phone: 763-420-5903
Sarah Voeller, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6493 Sycamore Ct N, Maple Grove, MN 55369 Phone: 612-217-2578
Anna Shkolnik Johnson, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12915 63rd Ave N, Maple Grove, MN 55369 Phone: 952-826-8404
Ms. Lynn Marie Marrs, MSW LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 6347 Upland Ln N, Maple Grove, MN 55311 Phone: 612-202-9085 Fax: 763-422-8283
Ms. Sarah Baker Hussian, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12915 63rd Ave N, Maple Grove, MN 55369 Phone: 763-383-5800

Kellie C Bernal Delgado, LICSW - Medicare Clinical Social Worker in Maple Grove, MN