Kelly Tazi, MSSW, LCSW - Medicare Clinical Social Worker in Covington, KY

Kelly Tazi, MSSW, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Covington, Kentucky. Her current practice location is 525 W 5th St, Covington, Kentucky. You can reach out to her office (for appointments etc.) via phone at (859) 816-5504.

Kelly Tazi is licensed to practice in Kentucky (license number 256613) 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 1205558087.

Contact Information

Kelly Tazi, MSSW, LCSW
525 W 5th St,
Covington, KY 41011-1259
(859) 816-5504
Not Available



Healthcare Provider's Profile

Full NameKelly Tazi
GenderFemale
SpecialitySocial Worker - Clinical
Location525 W 5th St, Covington, Kentucky
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1205558087
  • Provider Enumeration Date: 09/19/2022
  • Last Update Date: 09/19/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4880063882
  • Enrollment ID: I20221214001999

Medical Identifiers

Medical identifiers for Kelly Tazi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205558087NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 256613 (Kentucky)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. Kelly Tazi allows following entities to bill medicare on her behalf.
Entity NamePsychological & Behavioral Consultants Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811915713
PECOS PAC ID: 0446243760
Enrollment ID: O20160926002081

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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. Kelly Tazi 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 AddressPractice Location Address
Kelly Tazi, MSSW, LCSW
509 W Southern Ave,
Covington, KY 41015-1363

Ph: (859) 739-8484
Kelly Tazi, MSSW, LCSW
525 W 5th St,
Covington, KY 41011-1259

Ph: (859) 816-5504

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Social Worker in Covington, KY

Tanya H Kaup, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 502 Farrell Dr, Covington, KY 41011
Phone: 859-331-3292    Fax: 859-578-2864
Kimberly M Guy, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 502 Farrell Dr, Covington, KY 41011
Phone: 859-331-3292    Fax: 859-578-2864
Ruth K Verst, LCSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 502 Farrell Dr, Covington, KY 41011
Phone: 859-331-3292    Fax: 859-578-2468
Mrs. Anna R Humes, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 4339 Winston Ave, Covington, KY 41015
Phone: 859-835-2573    
Dr. Lora Ann Millsaps, DSW, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 513 Madison Ave, Covington, KY 41011
Phone: 859-331-3292    
Danielle Hubbard, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 513 Madison Ave, Covington, KY 41011
Phone: 859-578-3200    Fax: 859-534-2627
Andrea Mcphillips, MSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 513 Madison Ave, Covington, KY 41011
Phone: 859-331-3292    Fax: 859-534-2989

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