Kelsea Surace, in Bellport, NY - Medicare Clinical Social Worker Provider

Kelsea Surace, is a medicare enrolled "Social Worker - Clinical" provider in Bellport, New York. She graduated from medical school in 2017 and has 9 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Brightside Medical Pc and her current practice location is 11 Farber Dr Ste D, Bellport, New York. You can reach out to her office (for appointments etc.) via phone at (631) 286-0700.

Kelsea Surace is licensed to practice in New York (license number 094598) 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 1154823896.

Contact Information

	Kelsea Surace,
	11 Farber Dr Ste D, Bellport, NY 11713-1500
	(631) 286-0700
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kelsea Surace
Gender	Female
Speciality	Clinical Social Worker
Experience	9 Years
Location	11 Farber Dr Ste D, Bellport, New York
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:

Kelsea Surace graduated from medical school in 2017

NPI Data:

NPI Number: 1154823896
Provider Enumeration Date: 03/07/2018
Last Update Date: 04/09/2026

Medicare PECOS Information:

PECOS PAC ID: 9234654666
Enrollment ID: I20250418000345

Medical Identifiers

Medical identifiers for Kelsea Surace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154823896	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	094598 (New York)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Brightside Medical Pc	4082089461	60

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. Kelsea Surace allows following entities to bill medicare on her behalf.

Entity Name	Brightside Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508325184 PECOS PAC ID: 4082089461 Enrollment ID: O20230803003025

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. Kelsea Surace 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
Kelsea Surace, 51 Maple Ave, Northport, NY 11768-1937 Ph: () -	Kelsea Surace, 11 Farber Dr Ste D, Bellport, NY 11713-1500 Ph: (631) 286-0700

Reviews and Comments

Social Worker in Bellport, NY

Karen O'brien, LCSW-R Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11 Farber Drive, Unit D, Bellport, NY 11713 Phone: 631-286-0700 Fax: 631-286-0688
Mrs. Gail Freeman Scallon, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 35 Kreamer St, Bellport, NY 11713 Phone: 631-730-1769 Fax: 631-286-4460
Derek Hawkins, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11 Farber Drive, Unit D, Bellport, NY 11713 Phone: 631-286-0700 Fax: 631-286-0688
Anne M. Virgilio, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10 Station Ct, Bellport, NY 11713 Phone: 631-286-5710 Fax: 631-286-5720
Ms. Erena Digonis, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 926 S Country Rd, Bellport, NY 11713 Phone: 917-750-4811
Ms. Christina Marie Attisani, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 350 Martha Ave, Bellport, NY 11713 Phone: 631-286-6971

Kelsea Surace, - Medicare Clinical Social Worker in Bellport, NY