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

Kelly Hildre, MSW, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Buffalo, Minnesota. She graduated from medical school in 2020 and has 6 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Jacqui Ruzicka Counseling Services Llc and 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 may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and 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	Clinical Social Worker
Experience	6 Years
Location	15 2nd St Nw, Buffalo, Minnesota
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kelly Hildre graduated from medical school in 2020

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

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Jacqui Ruzicka Counseling Services Llc	9133462161	2

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
Alexis A Koehler, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3650 Braddock Ave Ne Ste 2100, Buffalo, MN 55313 Phone: 763-477-8355
Mrs. Erica Rose Creighton, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 303 Catlin St, Buffalo, MN 55313 Phone: 763-682-5225
Christine Lee Kraklau-treichler, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3650 Braddock Ave Ne Ste 2100, Buffalo, MN 55313 Phone: 763-684-2331 Fax: 763-682-7701
Jessica Zylla, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3650 Braddock Ave Ne Ste 2100, Buffalo, MN 55313 Phone: 763-412-8496
Karen Klement, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 755 Crossroads Campus Dr Ne, Buffalo, MN 55313 Phone: 763-684-6300

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