Mr William T Connelly, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Grethel, Kentucky. He graduated from medical school in 1981 and has 43 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Big Sandy Health Care, Inc and his current practice location is
7629 Ky Route 979, Grethel, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(606) 587-2200.
Mr William T Connelly is licensed to practice in Kentucky (license number 574) 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 1780854026.
Healthcare Provider's Profile
| Full Name | Mr William T Connelly |
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| Gender | Male |
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| Speciality | Clinical Social Worker |
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| Experience | 43 Years |
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| Location | 7629 Ky Route 979, Grethel, Kentucky |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr William T Connelly graduated from medical school in 1981
NPI Data:
- NPI Number: 1780854026
- Provider Enumeration Date: 03/03/2008
- Last Update Date: 08/03/2012
Medicare PECOS Information:
- PECOS PAC ID: 6002889433
- Enrollment ID: I20100106000717
Medical Identifiers
Medical identifiers for Mr William T Connelly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1780854026 | NPI | - | NPPES |
| 7100099340 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1041C0700X | Social Worker - Clinical | 574 (Kentucky) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Big Sandy Health Care, Inc | 1951211218 | 47 |
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 William T Connelly allows following entities to bill medicare on his behalf.
| Entity Name | Big Sandy Health Care, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1104055805
PECOS PAC ID: 1951211218
Enrollment ID: O20040510000841 |
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| Entity Name | Big Sandy Health Care, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1972173136
PECOS PAC ID: 1951211218
Enrollment ID: O20210901001642 |
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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. Mr William T Connelly 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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Mr William T Connelly, LCSW
1709 Ky Route 321, Suite 3,
Prestonsburg, KY 41653-9097
Ph: (606) 886-8546 | Mr William T Connelly, LCSW
7629 Ky Route 979,
Grethel, KY 41631-6304
Ph: (606) 587-2200 |
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