Mr Randy A Hultberg, LCSW in Greenville, KY - Medicare Clinical Social Worker Provider

Mr Randy A Hultberg, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Greenville, Kentucky. He graduated from medical school in 1980 and has 44 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Lifeskills, Inc and his current practice location is 506 Hopkinsville St, Greenville, Kentucky. You can reach out to his office (for appointments etc.) via phone at (270) 338-5211.

Mr Randy A Hultberg is licensed to practice in Kentucky (license number 804) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1104846575.

Contact Information

	Mr Randy A Hultberg, LCSW
	506 Hopkinsville St, Greenville, KY 42345-1104
	(270) 338-5211
	(270) 338-1624

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Randy A Hultberg
Gender	Male
Speciality	Clinical Social Worker
Experience	44 Years
Location	506 Hopkinsville St, Greenville, Kentucky
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Randy A Hultberg graduated from medical school in 1980

NPI Data:

NPI Number: 1104846575
Provider Enumeration Date: 07/20/2006
Last Update Date: 05/06/2019

Medicare PECOS Information:

PECOS PAC ID: 3476618323
Enrollment ID: I20101123000787

Medical Identifiers

Medical identifiers for Mr Randy A Hultberg such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104846575	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LSW0000000611 (Tennessee)	Secondary
1041C0700X	Social Worker - Clinical	804 (Kentucky)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lifeskills, Inc	8820902638	35

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. Mr Randy A Hultberg allows following entities to bill medicare on his behalf.

Entity Name	Lifeskills, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669401816 PECOS PAC ID: 8820902638 Enrollment ID: O20031117000330

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. Mr Randy A Hultberg 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
Mr Randy A Hultberg, LCSW Po Box 614, Hopkinsville, KY 42241-0614 Ph: (270) 886-2205	Mr Randy A Hultberg, LCSW 506 Hopkinsville St, Greenville, KY 42345-1104 Ph: (270) 338-5211

Reviews and Comments

Social Worker in Greenville, KY

Dina Holland, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 226 Hopkinsville St, Greenville, KY 42345 Phone: 270-377-3077 Fax: 270-377-3002
David Brown, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 506 Hopkinsville St, Greenville, KY 42345 Phone: 270-338-5211 Fax: 270-338-1624
Nancy Elaine Floyd, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 504 Hopkinsville St, Greenville, KY 42345 Phone: 270-338-6488 Fax: 270-338-7868
Donald Vannatta, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 506 Hopkinsville St, Greenville, KY 42345 Phone: 270-338-5211 Fax: 270-338-1624

Mr Randy A Hultberg, LCSW - Medicare Clinical Social Worker in Greenville, KY