Cady Tisdale, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Mount Sherman, Kentucky. Her current practice location is
5899 Bailey Rd, Mount Sherman, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(270) 230-6946.
Cady Tisdale is licensed to practice in Kentucky (license number 258212) 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 1952176455.
Healthcare Provider's Profile
| Full Name | Cady Tisdale |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 5899 Bailey Rd, Mount Sherman, Kentucky |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1952176455
- Provider Enumeration Date: 11/15/2023
- Last Update Date: 11/15/2023
Medicare PECOS Information:
- PECOS PAC ID: 8628414935
- Enrollment ID: I20240308002709
Medical Identifiers
Medical identifiers for Cady Tisdale such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1952176455 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1041C0700X | Social Worker - Clinical | 258212 (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. Cady Tisdale allows following entities to bill medicare on her behalf.
| Entity Name | Jessica Young Counseling Services, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1427766302
PECOS PAC ID: 8022488147
Enrollment ID: O20230106001568 |
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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. Cady Tisdale 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 |
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Cady Tisdale, LCSW
517 Nutwood St,
Bowling Green, KY 42103-1617
Ph: () - | Cady Tisdale, LCSW
5899 Bailey Rd,
Mount Sherman, KY 42764-8769
Ph: (270) 230-6946 |
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