Ms Kathleen Lorraine Kelly, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Quincy, Florida. Her current practice location is
460 Mount Pleasant Rd, Quincy, Florida. You can reach out to her office (for appointments etc.) via phone at
(702) 372-9237.
Ms Kathleen Lorraine Kelly is licensed to practice in Nevada (license number 2868-C) 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 1073664710.
Healthcare Provider's Profile
Full Name | Ms Kathleen Lorraine Kelly |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 460 Mount Pleasant Rd, Quincy, Florida |
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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: 1073664710
- Provider Enumeration Date: 01/16/2007
- Last Update Date: 12/07/2022
Medicare PECOS Information:
- PECOS PAC ID: 4587741806
- Enrollment ID: I20080410000131
Medical Identifiers
Medical identifiers for Ms Kathleen Lorraine Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073664710 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 2868C (Nevada) | Secondary |
1041C0700X | Social Worker - Clinical | 2868-C (Nevada) | 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. Ms Kathleen Lorraine Kelly allows following entities to bill medicare on her behalf.
Entity Name | A Better Life, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1972872182 PECOS PAC ID: 2769644129 Enrollment ID: O20120501000189 |
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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 Kathleen Lorraine Kelly 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 |
Ms Kathleen Lorraine Kelly, LCSW 460 Mount Pleasant Rd, Quincy, FL 32352-6301 Ph: (702) 372-9237 | Ms Kathleen Lorraine Kelly, LCSW 460 Mount Pleasant Rd, Quincy, FL 32352-6301 Ph: (702) 372-9237 |
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