Katherine Kendall Perry, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Milton, Georgia. Her current practice location is
850 Mayfield Rd Ste 203, Milton, Georgia. You can reach out to her office (for appointments etc.) via phone at
(770) 389-8100.
Katherine Kendall Perry is licensed to practice in Georgia (license number CSW005323) 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 1861902561.
Healthcare Provider's Profile
Full Name | Katherine Kendall Perry |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 850 Mayfield Rd Ste 203, Milton, Georgia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1861902561
- Provider Enumeration Date: 10/07/2017
- Last Update Date: 09/25/2024
Medicare PECOS Information:
- PECOS PAC ID: 6103169958
- Enrollment ID: I20200625002962
Medical Identifiers
Medical identifiers for Katherine Kendall Perry such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1861902561 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 000120576 (Massachusetts) | Secondary |
1041C0700X | Social Worker - Clinical | CSW005323 (Georgia) | 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. Katherine Kendall Perry allows following entities to bill medicare on her behalf.
Entity Name | The Southeast Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1245266956 PECOS PAC ID: 6204829013 Enrollment ID: O20040407000370 |
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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. Katherine Kendall Perry 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 |
Katherine Kendall Perry, LCSW 3650 Steve Reynolds Blvd, Duluth, GA 30096-4506 Ph: (706) 831-3803 | Katherine Kendall Perry, LCSW 850 Mayfield Rd Ste 203, Milton, GA 30009-3012 Ph: (770) 389-8100 |
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