Erica Leigh Kelly, LCSW is a medicare enrolled "Social Worker - Clinical" in Durango, Colorado. Her current practice location is 
135 Burnett Dr Unit 4, Durango, Colorado. You can reach out to her office (for appointments etc.) via phone at 
(970) 946-2079.
Erica Leigh Kelly is licensed to practice in * (Not Available) (license number ) 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 1972245447.
				
				
				
				
				
		 
		
		 
Provider's Profile
		
			
			
			| Full Name | Erica Leigh Kelly | 
|---|
| Gender | Female | 
|---|
| Speciality | Social Worker - Clinical | 
|---|
| Location | 135 Burnett Dr Unit 4, Durango, Colorado | 
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
|---|
			
			 
			
						  NPI Data:
			
			- NPI Number: 1972245447
- Provider Enumeration Date: 04/13/2022
- Last Update Date: 05/17/2022
  Medicare PECOS Information:
- PECOS PAC ID: 0446627657
- Enrollment ID: I20221101000980
 
		 
		 
Medical Identifiers
		Medical identifiers for Erica Leigh Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
|---|
		| 1972245447 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
|---|
		| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | CSW.09927095 (Colorado) | Secondary | 
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | 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. Erica Leigh Kelly allows following entities to bill medicare on her behalf.
| Entity Name | Sondermind Provider Network Llc | 
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| Entity Type | Part B Supplier - Clinic/group Practice | 
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| Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490
 Enrollment ID: O20210113002826
 | 
|---|
		 
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. Erica Leigh 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 | 
|---|
		| Erica Leigh Kelly, LCSW 135 Burnett Dr Unit 4,
 Durango, CO 81301-7790
 Ph: (970) 946-2079
 | Erica Leigh Kelly, LCSW 135 Burnett Dr Unit 4,
 Durango, CO 81301-7790
 Ph: (970) 946-2079
 | 
		
		 
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