Karen Melici, MSW, LCSW - Medicare Clinical Social Worker in Macungie, PA

Karen Melici, MSW, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Macungie, Pennsylvania. She graduated from medical school in 1995 and has 29 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Summit Medical Group Pa and her current practice location is 6451 Village Ln, Macungie, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (610) 967-2772.

Karen Melici is licensed to practice in Pennsylvania (license number CW018309) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1114084282.

Contact Information

Karen Melici, MSW, LCSW
6451 Village Ln,
Macungie, PA 18062-8484
(610) 967-2772
(610) 967-2559

Map and Direction




Healthcare Provider's Profile

Full NameKaren Melici
GenderFemale
SpecialityClinical Social Worker
Experience29 Years
Location6451 Village Ln, Macungie, Pennsylvania
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Karen Melici graduated from medical school in 1995
  NPI Data:
  • NPI Number: 1114084282
  • Provider Enumeration Date: 01/01/2007
  • Last Update Date: 12/01/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 9537133541
  • Enrollment ID: I20040825000404

Medical Identifiers

Medical identifiers for Karen Melici such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114084282NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical CW018309 (Pennsylvania)Primary
1041C0700XSocial Worker - Clinical 44SC04607500 (New Jersey)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Summit Medical Group Pa53956422761247

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 Melici allows following entities to bill medicare on her behalf.
Entity NameSummit Medical Group Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942254347
PECOS PAC ID: 5395642276
Enrollment ID: O20031218000011
Entity NameIntegrated Behavioral Care Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023163359
PECOS PAC ID: 8820014053
Enrollment ID: O20051018000338

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 Melici 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 Melici, MSW, LCSW
Po Box 783311,
Philadelphia, PA 19178-3311

Ph: (484) 884-4500
Karen Melici, MSW, LCSW
6451 Village Ln,
Macungie, PA 18062-8484

Ph: (610) 967-2772

Reviews and Comments


Social Worker in Macungie, PA

Patricia Ann Mccarthy, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 113 S Fairview St, Macungie, PA 18062
Phone: 302-381-9797    

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.