Carson Tyler Gentry, LSCSW in Fort Riley, KS - Medicare Social Worker Provider

Carson Tyler Gentry, LSCSW is a medicare enrolled "Social Worker - Clinical" provider in Fort Riley, Kansas. His current practice location is 650 Huebner Rd, Fort Riley, Kansas. You can reach out to his office (for appointments etc.) via phone at (785) 239-3627.

Carson Tyler Gentry is licensed to practice in Kansas (license number 06386) 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 1578174850.

Contact Information

	Carson Tyler Gentry, LSCSW
	650 Huebner Rd, Fort Riley, KS 66442-4030
	(785) 239-3627
	(785) 240-8358

Map and Direction

Healthcare Provider's Profile

Full Name	Carson Tyler Gentry
Gender	Male
Speciality	Social Worker - Clinical
Location	650 Huebner Rd, Fort Riley, Kansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578174850
Provider Enumeration Date: 08/11/2020
Last Update Date: 08/06/2024

Medicare PECOS Information:

PECOS PAC ID: 9032550033
Enrollment ID: I20240508001593

Medical Identifiers

Medical identifiers for Carson Tyler Gentry such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578174850	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	06386 (Kansas)	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. Carson Tyler Gentry allows following entities to bill medicare on his behalf.

Entity Name	Connection Therapy Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295232015 PECOS PAC ID: 3971841693 Enrollment ID: O20190205001231

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. Carson Tyler Gentry 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
Carson Tyler Gentry, LSCSW 650 Huebner Rd, Fort Riley, KS 66442-4030 Ph: (785) 239-3627	Carson Tyler Gentry, LSCSW 650 Huebner Rd, Fort Riley, KS 66442-4030 Ph: (785) 239-3627

Reviews and Comments

Social Worker in Fort Riley, KS

Susan Marie Gassman, LSCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 582 Carpenter Ave, Fort Riley, KS 66442 Phone: 785-479-0182
Wendy Sue Hampton, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 650 Huebner Rd, Fort Riley, KS 66442 Phone: 785-239-7060
Luis Manuel Lozoya, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 650 Huebner Rd, Fort Riley, KS 66442 Phone: 785-239-7208 Fax: 630-570-5779
Jasmine Lachelle Cohen-young, LSCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 650 Huebner Rd, Fort Riley, KS 66442 Phone: 785-239-7000 Fax: 630-570-5779
Phillip Hiracheta, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 600 Caisson Hill Rd, Fort Riley, KS 66442 Phone: 785-240-7197
Erik Christensen, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 650 Huebner Rd, Fort Riley, KS 66442 Phone: 785-240-5545
Mrs. Jennifer Turner Martin, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 650 Huebner Rd, Fort Riley, KS 66442 Phone: 785-240-7204

Carson Tyler Gentry, LSCSW - Medicare Clinical Social Worker in Fort Riley, KS