Mary Katherine Lilly, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Scarbro, West Virginia. Her current practice location is
908 Scarbro Road, Scarbro, West Virginia. You can reach out to her office (for appointments etc.) via phone at
(304) 574-2905.
Mary Katherine Lilly is licensed to practice in Texas (license number 111436) 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 1285013888.
Healthcare Provider's Profile
| Full Name | Mary Katherine Lilly |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 908 Scarbro Road, Scarbro, West Virginia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1285013888
- Provider Enumeration Date: 05/28/2015
- Last Update Date: 11/20/2023
Medicare PECOS Information:
- PECOS PAC ID: 8820302565
- Enrollment ID: I20150807015400
Medical Identifiers
Medical identifiers for Mary Katherine Lilly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1285013888 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1041C0700X | Social Worker - Clinical | DP00940388 (West Virginia) | Secondary |
| 1041C0700X | Social Worker - Clinical | 111436 (Texas) | 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. Mary Katherine Lilly allows following entities to bill medicare on her behalf.
| Entity Name | Peer Recovery & Therapy Services, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1568114262
PECOS PAC ID: 0244612083
Enrollment ID: O20220727000244 |
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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. Mary Katherine Lilly 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 |
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Mary Katherine Lilly, LICSW
P O Box 337, 908 Scarbro Road,
Scarbro, WV 25917
Ph: (304) 574-2905 | Mary Katherine Lilly, LICSW
908 Scarbro Road,
Scarbro, WV 25917
Ph: (304) 574-2905 |
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