Kelly Cook, LICSW in Port Angeles, WA - Medicare Social Worker Provider

Kelly Cook, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Port Angeles, Washington. Her current practice location is 118 E 8th St, Port Angeles, Washington. You can reach out to her office (for appointments etc.) via phone at (360) 457-0431.

Kelly Cook is licensed to practice in Washington (license number LW60384294) 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 1073810669.

Contact Information

	Kelly Cook, LICSW
	118 E 8th St, Port Angeles, WA 98362-6129
	(360) 457-0431
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kelly Cook
Gender	Female
Speciality	Social Worker - Clinical
Location	118 E 8th St, Port Angeles, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073810669
Provider Enumeration Date: 02/17/2011
Last Update Date: 07/24/2014

Medicare PECOS Information:

PECOS PAC ID: 3577736131
Enrollment ID: I20140812002207

Medical Identifiers

Medical identifiers for Kelly Cook such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073810669	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	9685 (South Carolina)	Secondary
1041C0700X	Social Worker - Clinical	LW60384294 (Washington)	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. Kelly Cook allows following entities to bill medicare on her behalf.

Entity Name	Peninsula Behavioral Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760519060 PECOS PAC ID: 7416845870 Enrollment ID: O20040503001304

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. Kelly Cook 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
Kelly Cook, LICSW 118 E 8th St, Port Angeles, WA 98362-6129 Ph: (360) 457-0431	Kelly Cook, LICSW 118 E 8th St, Port Angeles, WA 98362-6129 Ph: (360) 457-0431

Reviews and Comments

Social Worker in Port Angeles, WA

Emily Last, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 513 E 8th St, Port Angeles, WA 98362 Phone: 360-477-5668
Francesca Robison, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 118 E 8th St, Port Angeles, WA 98362 Phone: 360-457-0431 Fax: 360-457-0493
Isabelle Dennis, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 118 E 8th St, Port Angeles, WA 98362 Phone: 360-457-0431 Fax: 360-457-0493
Rebecca Murphy, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 118 E 8th St, Port Angeles, WA 98362 Phone: 360-457-0431 Fax: 360-457-0493
Mr. Peter O. Casey, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 113 East Eunice St., Port Angeles, WA 98362 Phone: 360-461-3097
Ms. Michele Anne Bryant, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 113 S Eunice St, Port Angeles, WA 98362 Phone: 360-417-8018

Kelly Cook, LICSW - Medicare Clinical Social Worker in Port Angeles, WA