Kelly Bailey, LCSW in Beloit, WI - Medicare Social Worker Provider

Kelly Bailey, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Beloit, Wisconsin. Her current practice location is 540 E Grand Ave, Beloit, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (608) 368-8087.

Kelly Bailey is licensed to practice in Wisconsin (license number 130921) 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 1538792387.

Contact Information

	Kelly Bailey, LCSW
	540 E Grand Ave, Beloit, WI 53511-6314
	(608) 368-8087
	(608) 312-2061

Map and Direction

Healthcare Provider's Profile

Full Name	Kelly Bailey
Gender	Female
Speciality	Social Worker - Clinical
Location	540 E Grand Ave, Beloit, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1538792387
Provider Enumeration Date: 02/20/2020
Last Update Date: 01/30/2025

Medicare PECOS Information:

PECOS PAC ID: 5496272353
Enrollment ID: I20250505003095

Medical Identifiers

Medical identifiers for Kelly Bailey such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538792387	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	149.022732 (Illinois)	Secondary
1041C0700X	Social Worker - Clinical	CO13652 (North Carolina)	Secondary
1041C0700X	Social Worker - Clinical	130921 (Wisconsin)	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. Kelly Bailey allows following entities to bill medicare on her behalf.

Entity Name	Stateline Mental Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538560255 PECOS PAC ID: 1658655865 Enrollment ID: O20170308001000

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. Kelly Bailey 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
Kelly Bailey, LCSW 2135 Candi Ln, Beloit, WI 53511-7025 Ph: (608) 295-4539	Kelly Bailey, LCSW 540 E Grand Ave, Beloit, WI 53511-6314 Ph: (608) 368-8087

Reviews and Comments

Social Worker in Beloit, WI

Mrs. Carol J Katroscik, MSW LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1969 W Hart Rd, Beloit, WI 53511 Phone: 608-364-5686 Fax: 608-363-5756
Teresa Bingham, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2797 Prairie Ave, Beloit, WI 53511 Phone: 608-312-2018
Melissa A Mcneill, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 64 Eclipse Ctr, Beloit, WI 53511 Phone: 608-363-6300 Fax: 608-363-6392
Alex Troupis, APSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1517 E Huebbe Pkwy Ste A, Beloit, WI 53511 Phone: 608-368-7119 Fax: 608-713-9040
Tracy Lynn Jurgens, APSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1969 W Hart Rd, Beloit, WI 53511 Phone: 608-364-5686 Fax: 608-363-5756
Sabrina Meichtry, APSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 540 E Grand Ave, Beloit, WI 53511 Phone: 608-368-8087
Ms. Payton Alexandra Tapia, APSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3005 S Riverside Dr Ste 102, Beloit, WI 53511 Phone: 608-299-7669

Kelly Bailey, LCSW - Medicare Clinical Social Worker in Beloit, WI