Ms Kelly Derr, LCSW in Mokena, IL - Medicare Clinical Social Worker Provider

Ms Kelly Derr, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Mokena, Illinois. She graduated from medical school in 1996 and has 28 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Great Changes Counseling Services, P.c. and her current practice location is 9435 Bormet Dr Ste 5, Mokena, Illinois. You can reach out to her office (for appointments etc.) via phone at (708) 995-7226.

Ms Kelly Derr is licensed to practice in Illinois (license number 149016583) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1912468927.

Contact Information

	Ms Kelly Derr, LCSW
	9435 Bormet Dr Ste 5, Mokena, IL 60448-7401
	(708) 995-7226
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Kelly Derr
Gender	Female
Speciality	Clinical Social Worker
Experience	28 Years
Location	9435 Bormet Dr Ste 5, Mokena, Illinois
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ms Kelly Derr graduated from medical school in 1996

NPI Data:

NPI Number: 1912468927
Provider Enumeration Date: 03/31/2019
Last Update Date: 03/31/2019

Medicare PECOS Information:

PECOS PAC ID: 7810221348
Enrollment ID: I20190702003267

Medical Identifiers

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

Identifier	Type	State	Issuer
1912468927	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	149016583 (Illinois)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Great Changes Counseling Services, P.c.	3375718604	4

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 Kelly Derr allows following entities to bill medicare on her behalf.

Entity Name	Great Changes Counseling Services, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205137346 PECOS PAC ID: 3375718604 Enrollment ID: O20111214000693

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 Kelly Derr 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 Kelly Derr, LCSW 425 N Broadway St, Coal City, IL 60416-1044 Ph: (815) 584-7730	Ms Kelly Derr, LCSW 9435 Bormet Dr Ste 5, Mokena, IL 60448-7401 Ph: (708) 995-7226

Reviews and Comments

Social Worker in Mokena, IL

Angela Dea, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 9697 191st St, Mokena, IL 60448 Phone: 630-305-5027
Stephanie Nash, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 9435 Bormet Dr Ste 5, Mokena, IL 60448 Phone: 708-995-7226
Lindsay Denise Currie, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9435 Bormet Dr Ste 5, Mokena, IL 60448 Phone: 708-995-7226 Fax: 708-995-7227
Amanda Hutera, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 19805 S La Grange Rd, Mokena, IL 60448 Phone: 708-938-3378
Mr. Jack Patrick Kane Jr., LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 9697 191st St, Mokena, IL 60448 Phone: 630-646-6559
Mrs. Tracey Leeann Martin, L.C.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 9200 W 191st St, Unit 6 Suite 1c, Mokena, IL 60448 Phone: 708-690-8820
Marissa Lynn Latko, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 11869 Golden Gate Dr, Mokena, IL 60448 Phone: 708-277-4121

Ms Kelly Derr, LCSW - Medicare Clinical Social Worker in Mokena, IL