Kelly Jean Witt-erickson, ICSW CPC is a medicare enrolled "Social Worker - Clinical" provider in Phillips, Wisconsin. She graduated from medical school in 1987 and has 39 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Aspirus Medford Hospital And Clinics Inc and her current practice location is
548 North Lake Avenue, Phillips, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(715) 339-6453.
Kelly Jean Witt-erickson is licensed to practice in Wisconsin (license number 3898-123) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1801106265.
Healthcare Provider's Profile
| Full Name | Kelly Jean Witt-erickson |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 39 Years |
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| Location | 548 North Lake Avenue, Phillips, Wisconsin |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kelly Jean Witt-erickson graduated from medical school in 1987
NPI Data:
- NPI Number: 1801106265
- Provider Enumeration Date: 10/19/2010
- Last Update Date: 10/19/2010
Medicare PECOS Information:
- PECOS PAC ID: 5496999526
- Enrollment ID: I20130911000554
Medical Identifiers
Medical identifiers for Kelly Jean Witt-erickson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1801106265 | NPI | - | NPPES |
| 39706000 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1041C0700X | Social Worker - Clinical | 3898-123 (Wisconsin) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Aspirus Medford Hospital And Clinics Inc | 5799688602 | 61 |
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 Jean Witt-erickson allows following entities to bill medicare on her behalf.
| Entity Name | Aspirus Medford Hospital & Clinics Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1285703173
PECOS PAC ID: 5799688602
Enrollment ID: O20040129000007 |
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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 Jean Witt-erickson 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 |
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Kelly Jean Witt-erickson, ICSW CPC
W5213 Worcester Lake Road,
Prentice, WI 54556
Ph: (715) 360-0809 | Kelly Jean Witt-erickson, ICSW CPC
548 North Lake Avenue,
Phillips, WI 54555
Ph: (715) 339-6453 |
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