Mr Kelly Michael Finn, MSW, LISAC in Glendale, AZ

Mr Kelly Michael Finn, MSW, LISAC is a medicare enrolled "Counselor - Addiction (substance Use Disorder)" provider in Glendale, Arizona. His current practice location is 5022 N 54th Ave Ste 4, Glendale, Arizona. You can reach out to his office (for appointments etc.) via phone at (623) 931-4343.

Mr Kelly Michael Finn is licensed to practice in Arizona (license number LISAC-10886) 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 1083886642.

Contact Information

	Mr Kelly Michael Finn, MSW, LISAC
	5022 N 54th Ave Ste 4, Glendale, AZ 85301-7531
	(623) 931-4343
	(623) 939-3476

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Kelly Michael Finn
Gender	Male
Speciality	Counselor - Addiction (substance Use Disorder)
Location	5022 N 54th Ave Ste 4, Glendale, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083886642
Provider Enumeration Date: 03/24/2008
Last Update Date: 03/24/2008

Medicare PECOS Information:

PECOS PAC ID: 1456746890
Enrollment ID: I20240130001688

Medical Identifiers

Medical identifiers for Mr Kelly Michael Finn such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083886642	NPI	-	NPPES
600248032	Other	AZ	MAGELLAN PROVIDER ID NUMB

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	LISAC-10886 (Arizona)	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. Mr Kelly Michael Finn allows following entities to bill medicare on his behalf.

Entity Name	Valera Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437782349 PECOS PAC ID: 0547690521 Enrollment ID: O20200414003279

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. Mr Kelly Michael Finn 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
Mr Kelly Michael Finn, MSW, LISAC 5022 N 54th Ave Ste 4, Glendale, AZ 85301-7531 Ph: (623) 931-4343	Mr Kelly Michael Finn, MSW, LISAC 5022 N 54th Ave Ste 4, Glendale, AZ 85301-7531 Ph: (623) 931-4343

Reviews and Comments

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Emily Train, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 17505 N 79th Ave Ste 105, Glendale, AZ 85308 Phone: 602-292-1862
Rachael Gustafson, LAC-T Counselor Medicare: Not Enrolled in Medicare Practice Location: 5800 W Glenn Dr Ste 140, Glendale, AZ 85301 Phone: 480-750-9337

Mr Kelly Michael Finn, MSW, LISAC - Medicare Counselor in Glendale, AZ