Kelvette Beacham, LISW in Lyndhurst, OH - Medicare Social Worker Provider

Kelvette Beacham, LISW is a medicare enrolled "Social Worker - Clinical" provider in Lyndhurst, Ohio. Her current practice location is 5010 Mayfield Rd Ste 210, Lyndhurst, Ohio. You can reach out to her office (for appointments etc.) via phone at (216) 831-2255.

Kelvette Beacham is licensed to practice in Ohio (license number L1500524) 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 1497097125.

Contact Information

	Kelvette Beacham, LISW
	5010 Mayfield Rd Ste 210, Lyndhurst, OH 44124-2692
	(216) 831-2255
	(216) 378-3906

Map and Direction

Healthcare Provider's Profile

Full Name	Kelvette Beacham
Gender	Female
Speciality	Social Worker - Clinical
Location	5010 Mayfield Rd Ste 210, Lyndhurst, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497097125
Provider Enumeration Date: 03/20/2013
Last Update Date: 07/22/2022

Medicare PECOS Information:

PECOS PAC ID: 1850701004
Enrollment ID: I20201029002222

Medical Identifiers

Medical identifiers for Kelvette Beacham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497097125	NPI	-	NPPES
2871101	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	S.0901415 (Ohio)	Secondary
1041C0700X	Social Worker - Clinical	L1500524 (Ohio)	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. Kelvette Beacham allows following entities to bill medicare on her behalf.

Entity Name	Life Bridge Therapy Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811510308 PECOS PAC ID: 2668891847 Enrollment ID: O20201008000325

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. Kelvette Beacham 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
Kelvette Beacham, LISW 26151 Lake Shore Blvd Apt 1409w, Euclid, OH 44132-1156 Ph: (216) 533-2614	Kelvette Beacham, LISW 5010 Mayfield Rd Ste 210, Lyndhurst, OH 44124-2692 Ph: (216) 831-2255

Reviews and Comments

Social Worker in Lyndhurst, OH

Yaasmeen Siddeeqa Muslima Ibrahim, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5010 Mayfield Rd Ste 210, Lyndhurst, OH 44124 Phone: 216-505-4774
Mr. Lance Taylor Peterson, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1551 Commodore Rd, Lyndhurst, OH 44124 Phone: 216-544-4407
Kayla Koyfman, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5010 Mayfield Rd Ste 306, Lyndhurst, OH 44124 Phone: 216-591-6191
Ms. Kathleen Usaj, LISW-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1950 Richmond Rd, Lyndhurst, OH 44124 Phone: 216-448-8608
Suzanne Harrington, LISW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 5010 Mayfield Rd Ste 105, Lyndhurst, OH 44124 Phone: 216-970-5404
Mrs. Abigail P. Grant, MSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 5010 Mayfield Rd Ste 216, Lyndhurst, OH 44124 Phone: 216-331-5498 Fax: 216-331-5498

Kelvette Beacham, LISW - Medicare Clinical Social Worker in Lyndhurst, OH