George Marshall, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Lewisport, Kentucky. His current practice location is
1210 4th St, Lewisport, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(270) 295-6452.
George Marshall is licensed to practice in Kentucky (license number 1636) 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 1720027006.
Healthcare Provider's Profile
| Full Name | George Marshall |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 1210 4th St, Lewisport, 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: 1720027006
- Provider Enumeration Date: 06/05/2006
- Last Update Date: 03/24/2016
Medicare PECOS Information:
- PECOS PAC ID: 9830129535
- Enrollment ID: I20050812000474
Medical Identifiers
Medical identifiers for George Marshall such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720027006 | NPI | - | NPPES |
| 11574926 | Other | | CAQH |
| 000000175357 | Other | KY | ANTHEM |
| 263895 | Other | KY | TRICARE |
| 30605018 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | 1636 (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. George Marshall allows following entities to bill medicare on his behalf.
| Entity Name | George Marshall Counseling Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093178048
PECOS PAC ID: 7012214174
Enrollment ID: O20160405000777 |
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| Entity Name | Advanced Behavioral Health Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134663925
PECOS PAC ID: 2668757774
Enrollment ID: O20170331001035 |
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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. George Marshall 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 |
|---|
George Marshall, LCSW
1210 4th St,
Lewisport, KY 42351-2526
Ph: (270) 295-6452 | George Marshall, LCSW
1210 4th St,
Lewisport, KY 42351-2526
Ph: (270) 295-6452 |
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