Lisa Keutman, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Kintnersville, Pennsylvania. Her current practice location is
233 School Drive, Kintnersville, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(267) 218-3918.
Lisa Keutman is licensed to practice in Pennsylvania (license number CW014851) 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 1518183623.
Healthcare Provider's Profile
Full Name | Lisa Keutman |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 233 School Drive, Kintnersville, Pennsylvania |
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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: 1518183623
- Provider Enumeration Date: 04/17/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 7618935974
- Enrollment ID: I20141219000571
Medical Identifiers
Medical identifiers for Lisa Keutman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1518183623 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | CW014851 (Pennsylvania) | Primary |
1041C0700X | Social Worker - Clinical | 44SC05157600 (New Jersey) | Secondary |
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. Lisa Keutman 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 |
Lisa Keutman, LCSW Po Box 125, Revere, PA 18953-0125 Ph: (267) 218-3918 | Lisa Keutman, LCSW 233 School Drive, Kintnersville, PA 18930 Ph: (267) 218-3918 |
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