Hope Kicklighter, LMSW is a medicare enrolled "Social Worker - Clinical" provider in Harriman, Tennessee. Her current practice location is
2305 N Gateway Ave, Harriman, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(800) 805-6989.
Hope Kicklighter is licensed to practice in District Of Columbia (license number LG200002751) 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 1538860622.
Healthcare Provider's Profile
| Full Name | Hope Kicklighter |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 2305 N Gateway Ave, Harriman, Tennessee |
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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: 1538860622
- Provider Enumeration Date: 03/15/2023
- Last Update Date: 02/13/2024
Medicare PECOS Information:
- PECOS PAC ID: 1951765775
- Enrollment ID: I20230913000515
Medical Identifiers
Medical identifiers for Hope Kicklighter such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1538860622 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1041C0700X | Social Worker - Clinical | LG200002751 (District Of Columbia) | Primary |
| 1041C0700X | Social Worker - Clinical | 13834 (Tennessee) | Secondary |
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. Hope Kicklighter allows following entities to bill medicare on her behalf.
| Entity Name | Crossroads Treatment Centers Of Tennessee, Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1316403405
PECOS PAC ID: 6204262025
Enrollment ID: O20200213002831 |
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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. Hope Kicklighter 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 |
|---|
Hope Kicklighter, LMSW
339 Athens Way Apt 318,
Nashville, TN 37228-3007
Ph: (205) 245-5187 | Hope Kicklighter, LMSW
2305 N Gateway Ave,
Harriman, TN 37748-8665
Ph: (800) 805-6989 |
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