Kelly Jo Bowles, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Forest, Virginia. She graduated from medical school in 2003 and has 23 years of diverse experience with area of expertise as Clinical Social Worker. Her current practice location is
14803 Forest Rd, #139, Forest, Virginia. You can reach out to her office (for appointments etc.) via phone at
(386) 385-4748.
Kelly Jo Bowles is licensed to practice in Florida (license number SW11089) 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 1093259194.
Healthcare Provider's Profile
| Full Name | Kelly Jo Bowles |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 23 Years |
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| Location | 14803 Forest Rd, #139, Forest, Virginia |
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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. |
Medical Education and Training:
- Kelly Jo Bowles graduated from medical school in 2003
NPI Data:
- NPI Number: 1093259194
- Provider Enumeration Date: 12/07/2016
- Last Update Date: 02/02/2026
Medicare PECOS Information:
- PECOS PAC ID: 9638451495
- Enrollment ID: I20170131002085
Medical Identifiers
Medical identifiers for Kelly Jo Bowles such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1093259194 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1041C0700X | Social Worker - Clinical | SW11089 (Florida) | 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 Jo Bowles allows following entities to bill medicare on her behalf.
| Entity Name | Patricia Adams Counseling, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1578951596 PECOS PAC ID: 4284955527 Enrollment ID: O20150611001551 |
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| Entity Name | Kelly Jo Bowles Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1710453998 PECOS PAC ID: 9830433283 Enrollment ID: O20181212000267 |
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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 Jo Bowles 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 Jo Bowles, LCSW 14803 Forest Rd, #139, Forest, VA 24551-9005 Ph: (386) 385-4748 | Kelly Jo Bowles, LCSW 14803 Forest Rd, #139, Forest, VA 24551-9005 Ph: (386) 385-4748 |
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