Ms Teresa Kelly, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Valley Forge, Pennsylvania. She graduated from medical school in 1999 and has 25 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Springfield Psychological Pc and her current practice location is
11 Davis Rd., Valley Forge, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(610) 783-1788.
Ms Teresa Kelly is licensed to practice in Pennsylvania (license number CW014637) 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 1912120510.
Healthcare Provider's Profile
| Full Name | Ms Teresa Kelly |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 25 Years |
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| Location | 11 Davis Rd., Valley Forge, Pennsylvania |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ms Teresa Kelly graduated from medical school in 1999
NPI Data:
- NPI Number: 1912120510
- Provider Enumeration Date: 04/11/2007
- Last Update Date: 09/11/2013
Medicare PECOS Information:
- PECOS PAC ID: 2860750338
- Enrollment ID: I20171212000222
Medical Identifiers
Medical identifiers for Ms Teresa Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1912120510 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1041C0700X | Social Worker - Clinical | CW014637 (Pennsylvania) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Springfield Psychological Pc | 1456322973 | 90 |
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 Teresa Kelly allows following entities to bill medicare on her behalf.
| Entity Name | Springfield Psychological Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1295705317
PECOS PAC ID: 1456322973
Enrollment ID: O20040805001143 |
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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 Teresa 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 |
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Ms Teresa Kelly, LCSW
Po Box 365,
Valley Forge, PA 19481-0365
Ph: (610) 783-1788 | Ms Teresa Kelly, LCSW
11 Davis Rd.,
Valley Forge, PA 19481
Ph: (610) 783-1788 |
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