Kelly Hildre, MSW, LICSW in Buffalo, MN - Medicare Social Worker Provider

Kelly Hildre, MSW, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Buffalo, Minnesota. Her current practice location is 15 2nd St Nw, Buffalo, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 612-2097.

Kelly Hildre is licensed to practice in * (Not Available) (license number ) 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 1871292284.

Contact Information

	Kelly Hildre, MSW, LICSW
	15 2nd St Nw, Buffalo, MN 55313-1357
	(763) 612-2097
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kelly Hildre
Gender	Female
Speciality	Social Worker - Clinical
Location	15 2nd St Nw, Buffalo, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1871292284
Provider Enumeration Date: 02/24/2023
Last Update Date: 02/24/2023

Medicare PECOS Information:

PECOS PAC ID: 3678927894
Enrollment ID: I20230921003059

Medical Identifiers

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

Identifier	Type	State	Issuer
1871292284	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	(* (Not Available))	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 Hildre allows following entities to bill medicare on her behalf.

Entity Name	Jacqui Ruzicka Counseling Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669849808 PECOS PAC ID: 9133462161 Enrollment ID: O20241230001289

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 Hildre 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 Hildre, MSW, LICSW 204 4th Ave Nw, Buffalo, MN 55313-1019 Ph: () -	Kelly Hildre, MSW, LICSW 15 2nd St Nw, Buffalo, MN 55313-1357 Ph: (763) 612-2097

Reviews and Comments

Social Worker in Buffalo, MN

Stephanie E Barnes, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 308 12th Ave S, Buffalo, MN 55313 Phone: 763-682-4400 Fax: 763-682-1353
Nicholas O'rourke, LGSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 802 Griffing Park Rd, Buffalo, MN 55313 Phone: 612-578-8052
Mrs. Erica Rose Creighton, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 303 Catlin St, Buffalo, MN 55313 Phone: 763-682-5225
Androniki Kokkali, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 308 12th Ave S, Buffalo, MN 55313 Phone: 763-682-4400 Fax: 763-682-1353
Gina Marie Theisz, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 308 12th Ave S, Buffalo, MN 55313 Phone: 763-682-4400 Fax: 763-682-1353
Marah Rae Walker, MSW, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 308 12th Ave S, Buffalo, MN 55313 Phone: 763-682-4400
Emily Garner, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 311 10th Ave S, Buffalo, MN 55313 Phone: 763-291-5505 Fax: 763-951-2820

Kelly Hildre, MSW, LICSW - Medicare Clinical Social Worker in Buffalo, MN