Ms Tiffany Jo Tomaso-kelly, LCSW - Medicare Clinical Social Worker in Pryor, OK

Ms Tiffany Jo Tomaso-kelly, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Pryor, Oklahoma. Her current practice location is 109 N Fairland St., Pryor, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (918) 629-3533.

Ms Tiffany Jo Tomaso-kelly is licensed to practice in Oklahoma (license number 8089) 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 1134135395.

Contact Information

Ms Tiffany Jo Tomaso-kelly, LCSW
109 N Fairland St.,
Pryor, OK 74361-4203
(918) 629-3533
Not Available



Healthcare Provider's Profile

Full NameMs Tiffany Jo Tomaso-kelly
GenderFemale
SpecialitySocial Worker - Clinical
Location109 N Fairland St., Pryor, Oklahoma
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1134135395
  • Provider Enumeration Date: 07/31/2006
  • Last Update Date: 08/22/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1052642659
  • Enrollment ID: I20191014000557

Medical Identifiers

Medical identifiers for Ms Tiffany Jo Tomaso-kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134135395NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical CSW.00000521 (Colorado)Secondary
1041C0700XSocial Worker - Clinical 8089 (Oklahoma)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 Tiffany Jo Tomaso-kelly allows following entities to bill medicare on her behalf.
Entity NamePoudre Valley Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366763260
PECOS PAC ID: 9638208549
Enrollment ID: O20100602000122

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› Verified 5 days ago

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 Tiffany Jo Tomaso-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 AddressPractice Location Address
Ms Tiffany Jo Tomaso-kelly, LCSW
109 N Fairland St.,
Pryor, OK 74361-4203

Ph: () -
Ms Tiffany Jo Tomaso-kelly, LCSW
109 N Fairland St.,
Pryor, OK 74361-4203

Ph: (918) 629-3533

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Social Worker in Pryor, OK

Tiffany Nicole Tottress, MSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 109 N Fairland St, Pryor, OK 74361
Phone: 918-825-1405    Fax: 918-825-1406
Floyd Grant, L.C.S.W.
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 109 N Fairland St, Suite 101, Pryor, OK 74361
Phone: 918-825-2884    
Christie Hilsheimer, LCSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 109 N Fairland St, Pryor, OK 74361
Phone: 918-825-1406    Fax: 918-876-3436
Allison Rose,
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 109 N Fairland St, Pryor, OK 74361
Phone: 539-240-4411    
Ms. Jennifer Noelle Pettijohn, LCSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 109 N Fairland St., Pryor, OK 74361
Phone: 918-825-1405    Fax: 918-825-1406
Taylor Autumn Andoe, LMSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 109 N Fairland St, Pryor, OK 74361
Phone: 918-825-1405    Fax: 918-825-1406

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