Mr Adrian Joseph Kelly, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Smithville, Missouri. He graduated from medical school in 2019 and has 7 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Ability Kc and his current practice location is
601 S Us Highway 169, Smithville, Missouri. You can reach out to his office (for appointments etc.) via phone at
(816) 702-6365.
Mr Adrian Joseph Kelly is licensed to practice in Missouri (license number 2021044663) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1043975022.
Healthcare Provider's Profile
| Full Name | Mr Adrian Joseph Kelly |
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| Gender | Male |
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| Speciality | Clinical Social Worker |
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| Experience | 7 Years |
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| Location | 601 S Us Highway 169, Smithville, Missouri |
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| Accepts Medicare Assignments | Yes. He 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:
- Mr Adrian Joseph Kelly graduated from medical school in 2019
NPI Data:
- NPI Number: 1043975022
- Provider Enumeration Date: 11/03/2021
- Last Update Date: 12/15/2021
Medicare PECOS Information:
- PECOS PAC ID: 1658763263
- Enrollment ID: I20220111001554
Medical Identifiers
Medical identifiers for Mr Adrian Joseph Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1043975022 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1041C0700X | Social Worker - Clinical | 2021044663 (Missouri) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Ability Kc | 0143116368 | 93 |
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. Mr Adrian Joseph Kelly allows following entities to bill medicare on his behalf.
| Entity Name | Ability Kc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1598746836
PECOS PAC ID: 0143116368
Enrollment ID: O20040225000330 |
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| Entity Name | Sondermind Provider Network Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1760854442
PECOS PAC ID: 9537572490
Enrollment ID: O20210812000440 |
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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. Mr Adrian Joseph Kelly 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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Mr Adrian Joseph Kelly, LCSW
330 S Fairview Ave,
Liberty, MO 64068-2213
Ph: () - | Mr Adrian Joseph Kelly, LCSW
601 S Us Highway 169,
Smithville, MO 64089-9317
Ph: (816) 702-6365 |
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