Ms Audrena R Kelley, LMSW is a medicare enrolled "Social Worker - Clinical" provider in Denton, Texas. She graduated from healthcare school in 2013 and has 13 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Mental Health Services Of Denton and her current practice location is
3421 San Lucas Ln, Denton, Texas. You can reach out to her office (for appointments etc.) via phone at
(765) 631-3292.
Ms Audrena R Kelley is licensed to practice in Texas (license number 59582) 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 1184356057.
Healthcare Provider's Profile
| Full Name | Ms Audrena R Kelley |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 13 Years |
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| Location | 3421 San Lucas Ln, Denton, Texas |
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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 Audrena R Kelley graduated from medical school in 2013
NPI Data:
- NPI Number: 1184356057
- Provider Enumeration Date: 06/28/2022
- Last Update Date: 04/19/2023
Medicare PECOS Information:
- PECOS PAC ID: 4880068428
- Enrollment ID: I20230321002320
Medical Identifiers
Medical identifiers for Ms Audrena R Kelley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1184356057 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | 59582 (Texas) | Secondary |
| 1041C0700X | Social Worker - Clinical | 59582 (Texas) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Mental Health Services Of Denton | 6305214792 | 5 |
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 Audrena R Kelley allows following entities to bill medicare on her behalf.
| Entity Name | Mental Health Services Of Denton |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1104560531
PECOS PAC ID: 6305214792
Enrollment ID: O20221115003453 |
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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 Audrena R 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 |
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Ms Audrena R Kelley, LMSW
3421 San Lucas Ln,
Denton, TX 76208-6074
Ph: (765) 631-3292 | Ms Audrena R Kelley, LMSW
3421 San Lucas Ln,
Denton, TX 76208-6074
Ph: (765) 631-3292 |
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