Kelly Lee, LISW-S, LICDC is a medicare enrolled "Social Worker - Clinical" provider in Zanesville, Ohio. She graduated from healthcare school in 2014 and has 10 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Muskingum County Drug Alcohol And Substance Abuse Council Inc and her current practice location is
1127 W Main St, Zanesville, Ohio. You can reach out to her office (for appointments etc.) via phone at
(740) 455-1266.
Kelly Lee is licensed to practice in Ohio (license number I.1600353-SUPV) 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 1972049203.
Healthcare Provider's Profile
| Full Name | Kelly Lee |
|---|
| Gender | Female |
|---|
| Speciality | Clinical Social Worker |
|---|
| Experience | 10 Years |
|---|
| Location | 1127 W Main St, Zanesville, Ohio |
|---|
| 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:
- Kelly Lee graduated from medical school in 2014
NPI Data:
- NPI Number: 1972049203
- Provider Enumeration Date: 01/10/2017
- Last Update Date: 12/05/2018
Medicare PECOS Information:
- PECOS PAC ID: 3375828114
- Enrollment ID: I20190104001520
Medical Identifiers
Medical identifiers for Kelly Lee such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972049203 | NPI | - | NPPES |
| 0201681 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LICDC.161384 (Ohio) | Secondary |
| 1041C0700X | Social Worker - Clinical | I.1600353-SUPV (Ohio) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Muskingum County Drug Alcohol And Substance Abuse Council Inc | 4789956236 | 3 |
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. Kelly Lee allows following entities to bill medicare on her behalf.
| Entity Name | Muskingum County Drug Alcohol & Substance Abuse Council Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1720349434
PECOS PAC ID: 4789956236
Enrollment ID: O20170818001117 |
|---|
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. Kelly Lee 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 |
|---|
Kelly Lee, LISW-S, LICDC
1127 W Main St,
Zanesville, OH 43701-3147
Ph: (740) 454-1266 | Kelly Lee, LISW-S, LICDC
1127 W Main St,
Zanesville, OH 43701-3147
Ph: (740) 455-1266 |
Reviews and Comments