Mrs Jamie Tisa Coffey-kelly, LCSW - Medicare Clinical Social Worker in Cascade, ID

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Mrs Jamie Tisa Coffey-kelly, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Cascade, Idaho. Her current practice location is 402 Lake Cascade Pkwy, Cascade, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 382-4285.

Mrs Jamie Tisa Coffey-kelly is licensed to practice in Idaho (license number LCSW-37639) 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 1992135818.

Contact Information

Mrs Jamie Tisa Coffey-kelly, LCSW
402 Lake Cascade Pkwy,
Cascade, ID 83611-7702
(208) 382-4285
(208) 382-5081

Map and Direction




Healthcare Provider's Profile

Full NameMrs Jamie Tisa Coffey-kelly
GenderFemale
SpecialitySocial Worker - Clinical
Location402 Lake Cascade Pkwy, Cascade, Idaho
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1992135818
  • Provider Enumeration Date: 11/13/2013
  • Last Update Date: 02/22/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 5597020842
  • Enrollment ID: I20180607001888

Medical Identifiers

Medical identifiers for Mrs Jamie Tisa Coffey-kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1992135818NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical LCSW-37639 (Idaho)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. Mrs Jamie Tisa Coffey-kelly allows following entities to bill medicare on her behalf.
Entity NameGlenns Ferry Health Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376673137
PECOS PAC ID: 5496656894
Enrollment ID: O20040119000307

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. Mrs Jamie Tisa Coffey-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 AddressPractice Location Address
Mrs Jamie Tisa Coffey-kelly, LCSW
Po Box 1330,
Cascade, ID 83611-1330

Ph: (208) 382-4285		Mrs Jamie Tisa Coffey-kelly, LCSW
402 Lake Cascade Pkwy,
Cascade, ID 83611-7702

Ph: (208) 382-4285

Reviews and Comments


Social Worker in Cascade, ID

Victoria M Fryar, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 402 Lake Cascade Pkwy, Cascade, ID 83611
Phone: 208-382-4285    
Gayle Eaton, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 402 Old State Hwy, Cascade, ID 83611
Phone: 208-382-4242    Fax: 208-382-5081
Angela Sherwood, LCSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 1532 Crown Point Pkwy # 977, Cascade, ID 83611
Phone: 208-816-7378    Fax: 208-509-4030

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.