Ms Kellie Martin, LCSW in Central Islip, NY - Medicare Social Worker Provider

Ms Kellie Martin, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Central Islip, New York. Her current practice location is 10 Hickory St, Central Islip, New York. You can reach out to her office (for appointments etc.) via phone at (631) 335-9573.

Ms Kellie Martin is licensed to practice in New York (license number 084444-1) 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 1770935116.

Contact Information

	Ms Kellie Martin, LCSW
	10 Hickory St, Central Islip, NY 11722-4704
	(631) 335-9573
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Kellie Martin
Gender	Female
Speciality	Social Worker - Clinical
Location	10 Hickory St, Central Islip, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770935116
Provider Enumeration Date: 07/11/2016
Last Update Date: 06/23/2022

Medicare PECOS Information:

PECOS PAC ID: 5890077820
Enrollment ID: I20170126001000

Medical Identifiers

Medical identifiers for Ms Kellie Martin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770935116	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	08-4444 (New York)	Secondary
1041C0700X	Social Worker - Clinical	084444-1 (New York)	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 Kellie Martin allows following entities to bill medicare on her behalf.

Entity Name	Association For Mental Health And Wellness Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578516738 PECOS PAC ID: 9739191461 Enrollment ID: O20060621000355

Entity Name	Long Island Elder Care Lcsw Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295763852 PECOS PAC ID: 8224038286 Enrollment ID: O20061222000230

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 Kellie Martin 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 Kellie Martin, LCSW 10 Hickory St, Central Islip, NY 11722-4704 Ph: (631) 335-9573	Ms Kellie Martin, LCSW 10 Hickory St, Central Islip, NY 11722-4704 Ph: (631) 335-9573

Reviews and Comments

Social Worker in Central Islip, NY

Ms. Lois Johnson Logan, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6 Fairlawn Dr, Central Islip, NY 11722 Phone: 631-348-7945
Miss Tashi Monique Self, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 320 Carleton Ave, Central Islip, NY 11722 Phone: 631-647-2048
Mr. David Angus Munro, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 129 Carleton Ave, Central Islip, NY 11722 Phone: 631-234-0236 Fax: 631-234-0286
Ms. Marilyn C Solano-foster, LCSW-R Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 115 Carleton Ave, Central Islip, NY 11722 Phone: 631-234-7807
Mrs. Kelly Gildea, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 320 Carleton Ave, Central Islip, NY 11722 Phone: 631-617-5300
Mrs. Crystal Lee Garcia, LMSW/MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 115 Carleton Ave, Central Islip, NY 11722 Phone: 631-234-7807
Nicole Gabrielle Balzafiore, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 159 Carleton Ave, Central Islip, NY 11722 Phone: 631-650-2510

Ms Kellie Martin, LCSW - Medicare Clinical Social Worker in Central Islip, NY