Mrs Kassidy Rae Lopez, LCSW in Millcreek, UT - Medicare Social Worker Provider

Mrs Kassidy Rae Lopez, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Millcreek, Utah. Her current practice location is 1208 E 3300 S, Millcreek, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 483-1600.

Mrs Kassidy Rae Lopez is licensed to practice in Utah (license number 122470653501) 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 1871291989.

Contact Information

	Mrs Kassidy Rae Lopez, LCSW
	1208 E 3300 S, Millcreek, UT 84106-2522
	(801) 483-1600
	(801) 483-1610

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Kassidy Rae Lopez
Gender	Female
Speciality	Social Worker - Clinical
Location	1208 E 3300 S, Millcreek, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1871291989
Provider Enumeration Date: 02/17/2023
Last Update Date: 02/17/2023

Medicare PECOS Information:

PECOS PAC ID: 4789040353
Enrollment ID: I20230524001846

Medical Identifiers

Medical identifiers for Mrs Kassidy Rae Lopez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871291989	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	122470653501 (Utah)	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. Mrs Kassidy Rae Lopez allows following entities to bill medicare on her behalf.

Entity Name	Comprehensive Psychological Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407878333 PECOS PAC ID: 2365345741 Enrollment ID: O20040202000251

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. Mrs Kassidy Rae Lopez 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
Mrs Kassidy Rae Lopez, LCSW 1208 E 3300 S, Millcreek, UT 84106-2522 Ph: (801) 483-1600	Mrs Kassidy Rae Lopez, LCSW 1208 E 3300 S, Millcreek, UT 84106-2522 Ph: (801) 483-1600

Reviews and Comments

Social Worker in Millcreek, UT

Mr. Patrick Price Adams, LCSW SUDC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2870 E 3300 S, Millcreek, UT 84109 Phone: 801-500-3300
Erin Delaney, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1208 E 3300 S, Millcreek, UT 84106 Phone: 801-483-1600
Jeannette Beal, MSW, CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4505 S Wasatch Blvd Ste 260, Millcreek, UT 84124 Phone: 801-416-0862
Susan Michelle Bollow, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4434 S Highland Dr, Millcreek, UT 84124 Phone: 385-321-3109
Tyler Andrus, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4465 S 900 E Ste 150, Millcreek, UT 84124 Phone: 435-248-2089
Lisa L Boice, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4064 S Highland Dr, Millcreek, UT 84124 Phone: 801-501-4350
Ms. Shannon Penny Price, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4465 Maybeck Place, Condo C, Millcreek, UT 84124 Phone: 801-272-2807

Mrs Kassidy Rae Lopez, LCSW - Medicare Clinical Social Worker in Millcreek, UT