Mrs Kelly L S Cook, LICSW in Edina, MN - Medicare Clinical Social Worker Provider

Mrs Kelly L S Cook, LICSW is a medicare enrolled "Counselor - Mental Health" provider in Edina, Minnesota. She graduated from medical school in 2002 and has 23 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Affinity Psychological Services Pc and her current practice location is 7401 Metro Blvd Ste 250, Edina, Minnesota. You can reach out to her office (for appointments etc.) via phone at (320) 403-4013.

Mrs Kelly L S Cook is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1790847135.

Contact Information

	Mrs Kelly L S Cook, LICSW
	7401 Metro Blvd Ste 250, Edina, MN 55439-3062
	(320) 403-4013
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Kelly L S Cook
Gender	Female
Speciality	Clinical Social Worker
Experience	23 Years
Location	7401 Metro Blvd Ste 250, Edina, Minnesota
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Kelly L S Cook graduated from medical school in 2002

NPI Data:

NPI Number: 1790847135
Provider Enumeration Date: 12/14/2006
Last Update Date: 11/20/2024

Medicare PECOS Information:

PECOS PAC ID: 7517062201
Enrollment ID: I20070425000472

Medical Identifiers

Medical identifiers for Mrs Kelly L S Cook such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790847135	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	17541 (Minnesota)	Secondary
101YM0800X	Counselor - Mental Health	(* (Not Available))	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Affinity Psychological Services Pc	0749528552	48

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 Kelly L S Cook allows following entities to bill medicare on her behalf.

Entity Name	Affinity Psychological Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245610856 PECOS PAC ID: 0749528552 Enrollment ID: O20190220001363

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 Kelly L S Cook 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
Mrs Kelly L S Cook, LICSW 2700 1st St N Ste 100, Saint Cloud, MN 56303-4585 Ph: (320) 223-0503	Mrs Kelly L S Cook, LICSW 7401 Metro Blvd Ste 250, Edina, MN 55439-3062 Ph: (320) 403-4013

Mrs Kelly L S Cook, LICSW - Medicare in Edina, MN