Killy J Bascom, LICSW in Brattleboro, VT - Medicare Social Worker Provider

Killy J Bascom, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Brattleboro, Vermont. Her current practice location is 1222 Putney Rd, Brattleboro, Vermont. You can reach out to her office (for appointments etc.) via phone at (802) 662-1655.

Killy J Bascom is licensed to practice in Vermont (license number 089.0087148) 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 1366687006.

Contact Information

	Killy J Bascom, LICSW
	1222 Putney Rd, Brattleboro, VT 05301-9000
	(802) 662-1655
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Killy J Bascom
Gender	Female
Speciality	Social Worker - Clinical
Location	1222 Putney Rd, Brattleboro, Vermont
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366687006
Provider Enumeration Date: 12/10/2008
Last Update Date: 10/28/2024

Medicare PECOS Information:

PECOS PAC ID: 0143469171
Enrollment ID: I20130622000093

Medical Identifiers

Medical identifiers for Killy J Bascom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366687006	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	089.0087148 (Vermont)	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. Killy J Bascom allows following entities to bill medicare on her behalf.

Entity Name	Killy Bascom Licsw Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316323223 PECOS PAC ID: 1456659812 Enrollment ID: O20160419000143

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. Killy J Bascom 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
Killy J Bascom, LICSW Po Box 8473, Brattleboro, VT 05304-8473 Ph: (802) 246-1221	Killy J Bascom, LICSW 1222 Putney Rd, Brattleboro, VT 05301-9000 Ph: (802) 662-1655

Reviews and Comments

Social Worker in Brattleboro, VT

Margaret B Shelby, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 15 Strand Ave, Brattleboro, VT 05301 Phone: 802-251-1057 Fax: 802-251-1058
Ms. Ruth Catherine Kenrick, M.A., L.I. C.S.W. Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 608 Town Hill Rd, Brattleboro, VT 05301 Phone: 802-258-7621
Melanie Rifkin, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 189 Hillwinds N, Brattleboro, VT 05301 Phone: 215-880-4898
Kurt White, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: Anna Marsh Lane, Brattleboro, VT 05302 Phone: 802-257-7785
Mrs. Caroline Lee Henderson, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1 Anna Marsh Lane, Brattleboro, VT 05302 Phone: 802-257-7785
Susan J Shepherd, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 22 Whipple St, Brattleboro, VT 05301 Phone: 802-254-5497
Ms. Megan Schwarz Hawthorne, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1037 Western Ave, Brattleboro, VT 05301 Phone: 802-254-3489

Killy J Bascom, LICSW - Medicare Clinical Social Worker in Brattleboro, VT