Mrs Katherine Pentz, MSW, LCSW in Kingman, AZ - Medicare Social Worker Provider

Mrs Katherine Pentz, MSW, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Kingman, Arizona. Her current practice location is 2681 Peppergrass Ln, Kingman, Arizona. You can reach out to her office (for appointments etc.) via phone at (928) 288-0565.

Mrs Katherine Pentz is licensed to practice in Arizona (license number LCSW-15841) 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 1568806123.

Contact Information

	Mrs Katherine Pentz, MSW, LCSW
	2681 Peppergrass Ln, Kingman, AZ 86401-5585
	(928) 288-0565
	(928) 854-1661

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Katherine Pentz
Gender	Female
Speciality	Social Worker - Clinical
Location	2681 Peppergrass Ln, Kingman, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568806123
Provider Enumeration Date: 04/24/2013
Last Update Date: 06/22/2023

Medicare PECOS Information:

PECOS PAC ID: 7416247788
Enrollment ID: I20160531000161

Medical Identifiers

Medical identifiers for Mrs Katherine Pentz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568806123	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LCSW-15841 (Arizona)	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 Katherine Pentz allows following entities to bill medicare on her behalf.

Entity Name	Sondermind Provider Network Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210318002844

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 Katherine Pentz 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 Katherine Pentz, MSW, LCSW 2681 Peppergrass Ln, Kingman, AZ 86401-5585 Ph: (928) 288-0565	Mrs Katherine Pentz, MSW, LCSW 2681 Peppergrass Ln, Kingman, AZ 86401-5585 Ph: (928) 288-0565

Reviews and Comments

Social Worker in Kingman, AZ

Roberto Hernandez Torres, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3505 Western Ave, Kingman, AZ 86409 Phone: 928-757-8111 Fax: 928-757-3256
Mr. Kenneth L Gaspar, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1741 Sycamore Ave, Kingman, AZ 86409 Phone: 928-757-8111 Fax: 928-757-3256
Ms. Bernice Isabel Greene, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1726 E Beverly Ave, Kingman, AZ 86409 Phone: 928-692-0080 Fax: 928-717-7494
Kristine K Hyatt, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3505 Western Ave, Kingman, AZ 86409 Phone: 928-757-8111 Fax: 928-757-1199
Dorothy Denise Nelson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 964 Gates Ave, Kingman, AZ 86401 Phone: 928-279-1662
Jettie A. Blanton, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1741 Sycamore Ave, Kingman, AZ 86409 Phone: 928-757-8111 Fax: 928-757-1199
Mrs. Alexis Kaye Stewart, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2668 Hualapai Mountain Rd, Kingman Cboc, Kingman, AZ 86401 Phone: 928-692-0080

Mrs Katherine Pentz, MSW, LCSW - Medicare Clinical Social Worker in Kingman, AZ