Jordan Kieliszewski, LISWS in Malmstrom Afb, MT - Medicare Social Worker Provider

Jordan Kieliszewski, LISWS is a medicare enrolled "Social Worker - Clinical" provider in Malmstrom Afb, Montana. His current practice location is 7300 N Perimeter Rd, Malmstrom Afb, Montana. You can reach out to his office (for appointments etc.) via phone at (064) 731-4494.

Jordan Kieliszewski is licensed to practice in Ohio (license number S32150) 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 1669469094.

Contact Information

	Jordan Kieliszewski, LISWS
	7300 N Perimeter Rd, Malmstrom Afb, MT 59402-6701
	(064) 731-4494
	Not Available

Healthcare Provider's Profile

Full Name	Jordan Kieliszewski
Gender	Male
Speciality	Social Worker - Clinical
Location	7300 N Perimeter Rd, Malmstrom Afb, Montana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1669469094
Provider Enumeration Date: 09/30/2005
Last Update Date: 09/22/2022

Medicare PECOS Information:

PECOS PAC ID: 3476740838
Enrollment ID: I20210407001146

Medical Identifiers

Medical identifiers for Jordan Kieliszewski such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669469094	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	S32150 (Ohio)	Primary

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. Jordan Kieliszewski 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
Jordan Kieliszewski, LISWS 7300 N Perimeter Rd, Malmstrom Afb, MT 59402-6701 Ph: (406) 731-3219	Jordan Kieliszewski, LISWS 7300 N Perimeter Rd, Malmstrom Afb, MT 59402-6701 Ph: (064) 731-4494

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Social Worker in Malmstrom Afb, MT

Marisa Sue Ridley, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7300 N Perimeter Rd, Malmstrom Afb, MT 59402 Phone: 406-731-3218
Ms. Elaine Harris, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 7300 N Perimeter Rd, Malmstrom Afb, MT 59402 Phone: 406-731-3689
Crystal Noppenberg, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 7300 N Perimeter Rd, Malmstrom Afb, MT 59402 Phone: 406-731-7494
Mr. Anthony Christopher Wilson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7300 N Perimeter Rd, Bldg 2040, Malmstrom Afb, MT 59402 Phone: 406-731-3219 Fax: 406-731-3231

Jordan Kieliszewski, LISWS - Medicare Clinical Social Worker in Malmstrom Afb, MT