Ms Karen Rose Kelly, LCSW, MAC, CDCS in Jber, AK - Medicare Social Worker Provider

Ms Karen Rose Kelly, LCSW, MAC, CDCS is a medicare enrolled "Social Worker - Clinical" provider in Jber, Alaska. Her current practice location is 5955 Zeamer Ave # 673mdg, Jber, Alaska. You can reach out to her office (for appointments etc.) via phone at (907) 551-3782.

Ms Karen Rose Kelly is licensed to practice in Alaska (license number 109450) 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 1861897746.

Contact Information

	Ms Karen Rose Kelly, LCSW, MAC, CDCS
	5955 Zeamer Ave # 673mdg, Jber, AK 99506-3702
	(907) 551-3782
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Karen Rose Kelly
Gender	Female
Speciality	Social Worker - Clinical
Location	5955 Zeamer Ave # 673mdg, Jber, Alaska
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861897746
Provider Enumeration Date: 11/04/2014
Last Update Date: 09/18/2020

Medicare PECOS Information:

PECOS PAC ID: 4486909215
Enrollment ID: I20180620000763

Medical Identifiers

Medical identifiers for Ms Karen Rose Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861897746	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	109450 (Alaska)	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. Ms Karen Rose Kelly allows following entities to bill medicare on her behalf.

Entity Name	Mat - Su Health Services Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184725210 PECOS PAC ID: 2567354533 Enrollment ID: O20040325000998

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. Ms Karen Rose 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
Ms Karen Rose Kelly, LCSW, MAC, CDCS 673 Mdg, 5955 Zeamer Avenue, Jber, AK 99506 Ph: (907) 551-3782	Ms Karen Rose Kelly, LCSW, MAC, CDCS 5955 Zeamer Ave # 673mdg, Jber, AK 99506-3702 Ph: (907) 551-3782

Reviews and Comments

Social Worker in Jber, AK

Ms. Rachel Maria Watko, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 786 D Street, Jber, AK 99505 Phone: 907-384-0405
Ms. Laurie E Hoyt, LCSW.,LPN Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 673 Mdg, 5955 Zeamer Avenue, Jber, AK 99506 Phone: 907-580-5858
Kristina Niccole Huckstep, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 673d Mdg, 5955 Zeamer Avenue, Jber, AK 99506 Phone: 907-580-3205
Corrin Ann Magro, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 673mdg, 5955 Zeamer Avenue, Jber, AK 99506 Phone: 907-580-3205
Ms. Laura Nichols, LCSW, BCD Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5955 Zeamer Ave, Jber, AK 99506 Phone: 907-580-2181
Jennifer Lynne Frysz, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5955 Zeamer Ave, Jber, AK 99506 Phone: 907-552-5320
Mrs. Ashley N Wofford, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 673mdg, 5955 Zeamer Ave, Jber, AK 99506 Phone: 618-670-2026

Ms Karen Rose Kelly, LCSW, MAC, CDCS - Medicare Clinical Social Worker in Jber, AK