Mark Kelsch, LMSW in Idaho Falls, ID - Medicare Counselor Provider

Mark Kelsch, LMSW is a medicare enrolled "Counselor - Professional" provider in Idaho Falls, Idaho. His current practice location is 2267 Teton Plz, Idaho Falls, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 522-0140.

Mark Kelsch is licensed to practice in Idaho (license number LCSW-37136) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1497046718.

Contact Information

	Mark Kelsch, LMSW
	2267 Teton Plz, Idaho Falls, ID 83404-6486
	(208) 522-0140
	(208) 524-7335

Map and Direction

Healthcare Provider's Profile

Full Name	Mark Kelsch
Gender	Male
Speciality	Counselor - Professional
Location	2267 Teton Plz, Idaho Falls, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497046718
Provider Enumeration Date: 04/20/2011
Last Update Date: 11/22/2023

Medicare PECOS Information:

PECOS PAC ID: 8426419706
Enrollment ID: I20230802003956

Medical Identifiers

Medical identifiers for Mark Kelsch such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497046718	NPI	-	NPPES
1346368198	Medicaid	ID

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	LCSW-37136 (Idaho)	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. Mark Kelsch allows following entities to bill medicare on his behalf.

Entity Name	Human Dynamics And Diagnostics Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346368198 PECOS PAC ID: 1153644547 Enrollment ID: O20141215002111

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. Mark Kelsch 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
Mark Kelsch, LMSW 2267 Teton Plz, Idaho Falls, ID 83404-6486 Ph: (208) 524-4953	Mark Kelsch, LMSW 2267 Teton Plz, Idaho Falls, ID 83404-6486 Ph: (208) 522-0140

Reviews and Comments

Counselor in Idaho Falls, ID

Desiree Jenks-asay, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 615 Hoopes Ave, Idaho Falls, ID 83401 Phone: 208-542-0352
Kelsey Lynn Cole, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 211 S Woodruff Ave Ste A3, Idaho Falls, ID 83401 Phone: 208-524-4818 Fax: 208-522-6630
Steven Orme, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 545 Shoup Ave, Idaho Falls, ID 83402 Phone: 208-351-1447
Mckenzie Leigh Duncan, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1262 E 17th St, Idaho Falls, ID 83404 Phone: 208-346-0688 Fax: 208-620-3027
Mr. Jorge Padron, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 543 3rd St, Idaho Falls, ID 83401 Phone: 208-522-6925 Fax: 208-522-6934
Zachary Wixom, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 150 Shoup Ave, Idaho Falls, ID 83402 Phone: 208-528-5712
Jennie R Nelson, Counselor Medicare: Medicare Enrolled Practice Location: 115 E 16th St, Idaho Falls, ID 83404 Phone: 208-523-6727

Mark Kelsch, LMSW - Medicare Counselor in Idaho Falls, ID