Alexis Kelley, is a medicare enrolled "Social Worker - Clinical" provider in Washington, District Of Columbia. Her current practice location is
2041 Martin Luther King Jr Ave Se, Washington, District Of Columbia. You can reach out to her office (for appointments etc.) via phone at
(202) 889-7900.
Alexis Kelley is licensed to practice in District Of Columbia (license number 50082295) 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 1407208556.
Healthcare Provider's Profile
| Full Name | Alexis Kelley |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 2041 Martin Luther King Jr Ave Se, Washington, District Of Columbia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1407208556
- Provider Enumeration Date: 07/12/2016
- Last Update Date: 04/24/2020
Medicare PECOS Information:
- PECOS PAC ID: 4587097928
- Enrollment ID: I20200528000824
Medical Identifiers
Medical identifiers for Alexis Kelley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1407208556 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | (NU) | Secondary |
| 1041C0700X | Social Worker - Clinical | 72476 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | 50082295 (District Of Columbia) | 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. Alexis Kelley allows following entities to bill medicare on her behalf.
| Entity Name | Uplift Behavioral Health PC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1629740410 PECOS PAC ID: 4688057086 Enrollment ID: O20220817003644 |
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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. Alexis Kelley 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 |
Alexis Kelley, 2041 Martin Luther King Jr Ave Se, Washington, DC 20020-7024 Ph: (202) 889-7900 | Alexis Kelley, 2041 Martin Luther King Jr Ave Se, Washington, DC 20020-7024 Ph: (202) 889-7900 |
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