Kelsey Pederson, LCSW in Turlock, CA - Medicare Social Worker Provider

Kelsey Pederson, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Turlock, California. Her current practice location is 1730 Sylvia Ct, Turlock, California. You can reach out to her office (for appointments etc.) via phone at (630) 567-0949.

Kelsey Pederson is licensed to practice in Oregon (license number 8047) 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 1831732114.

Contact Information

	Kelsey Pederson, LCSW
	1730 Sylvia Ct, Turlock, CA 95382-2829
	(630) 567-0949
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kelsey Pederson
Gender	Female
Speciality	Social Worker - Clinical
Location	1730 Sylvia Ct, Turlock, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1831732114
Provider Enumeration Date: 10/19/2019
Last Update Date: 10/19/2019

Medicare PECOS Information:

PECOS PAC ID: 9133645294
Enrollment ID: I20250501001368

Medical Identifiers

Medical identifiers for Kelsey Pederson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831732114	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	8047 (Oregon)	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. Kelsey Pederson allows following entities to bill medicare on her behalf.

Entity Name	Mountain River Counseling And Consulting Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356047047 PECOS PAC ID: 6507205614 Enrollment ID: O20240422001304

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. Kelsey Pederson 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
Kelsey Pederson, LCSW 1730 Sylvia Ct, Turlock, CA 95382-2829 Ph: (630) 567-0949	Kelsey Pederson, LCSW 1730 Sylvia Ct, Turlock, CA 95382-2829 Ph: (630) 567-0949

Reviews and Comments

Social Worker in Turlock, CA

Ms. Gina Beatriz Lima-vieira, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 384 E Olive Ave Ste 1, Turlock, CA 95380 Phone: 209-262-8082 Fax: 209-633-5811
Lorelei W. Avilla-lajoure, MSW, ASW, RN Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: One University Circle, Turlock, CA 95382 Phone: 209-613-9909
Sera Jensen, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 825 Delbon Ave, Turlock, CA 95382 Phone: 209-617-4788
Mrs. Tanya Marie Mangum, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2101 Geer Rd, Ste. 120, Turlock, CA 95382 Phone: 209-664-8044 Fax: 209-664-8036
Jordan Elzie, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2855 Geer Rd, Turlock, CA 95382 Phone: 209-668-9361
Ms. Holly Grace Currie, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2101 Geer Rd Ste 120, Turlock, CA 95382 Phone: 209-664-8044 Fax: 209-664-8036
Kelly D Toledo, ASW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 875 Geer Rd, Turlock, CA 95380 Phone: 209-633-3057

Kelsey Pederson, LCSW - Medicare Clinical Social Worker in Turlock, CA