Karen Julie Gales, LMSW - Medicare Clinical Social Worker in West Bloomfield, MI

Karen Julie Gales, LMSW is a medicare enrolled "Social Worker - Clinical" provider in West Bloomfield, Michigan. Her current practice location is 5600 W Maple Rd Ste B212, West Bloomfield, Michigan. You can reach out to her office (for appointments etc.) via phone at (248) 703-9851.

Karen Julie Gales is licensed to practice in Michigan (license number 6801115430) 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 1053091579.

Contact Information

Karen Julie Gales, LMSW
5600 W Maple Rd Ste B212,
West Bloomfield, MI 48322-3787
(248) 703-9851
(303) 265-9194

Map and Direction




Healthcare Provider's Profile

Full NameKaren Julie Gales
GenderFemale
SpecialitySocial Worker - Clinical
Location5600 W Maple Rd Ste B212, West Bloomfield, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1053091579
  • Provider Enumeration Date: 07/19/2023
  • Last Update Date: 07/19/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9133563430
  • Enrollment ID: I20240214003359

Medical Identifiers

Medical identifiers for Karen Julie Gales such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053091579NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 6801115430 (Michigan)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. Karen Julie Gales allows following entities to bill medicare on her behalf.
Entity NameGales Institute On Aging And Family Counseling Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851169312
PECOS PAC ID: 8224472527
Enrollment ID: O20240214002937

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. Karen Julie Gales 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
Karen Julie Gales, LMSW
5600 W Maple Rd Ste B212,
West Bloomfield, MI 48322-3787

Ph: (248) 703-9851
Karen Julie Gales, LMSW
5600 W Maple Rd Ste B212,
West Bloomfield, MI 48322-3787

Ph: (248) 703-9851

Reviews and Comments


Social Worker in West Bloomfield, MI

Shari-beth Goldman, LMSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 6555 W Maple Rd, West Bloomfield, MI 48322
Phone: 248-592-2300    Fax: 248-592-2340
Ms. Michelle Klein, MSW,CSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 6020 W Maple Rd Ste 501, West Bloomfield, MI 48322
Phone: 248-932-4325    
Natasha Castelvetere, LMSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 7096 Orchard Lake Rd, West Bloomfield, MI 48322
Phone: 616-328-6600    
Sarah Dubuc, LMSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 6555 W Maple Rd, West Bloomfield, MI 48322
Phone: 248-592-2300    
Mrs. Laurel Jean Rebenstock, LMSW, CAADC
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 5600 W Maple Rd Ste B212, West Bloomfield, MI 48322
Phone: 248-605-5049    
Mrs. Lisa Weingarden Kaplan, LMSW, CAADC, ACSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 6773 W Maple Rd, West Bloomfield, MI 48322
Phone: 248-788-3005    Fax: 248-661-6184
Julie Zorn,
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 7137 Ward Eagle Dr., West Bloomfield, MI 48322
Phone: 248-470-8278    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.