Mrs Kerry Lynn Ketchale, LCSW in Ellington, CT - Medicare Social Worker Provider

Mrs Kerry Lynn Ketchale, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Ellington, Connecticut. Her current practice location is 420 Somers Rd, Ellington, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 255-4475.

Mrs Kerry Lynn Ketchale is licensed to practice in Connecticut (license number 005794) 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 1518270446.

Contact Information

	Mrs Kerry Lynn Ketchale, LCSW
	420 Somers Rd, Ellington, CT 06029-2629
	(860) 255-4475
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Kerry Lynn Ketchale
Gender	Female
Speciality	Social Worker - Clinical
Location	420 Somers Rd, Ellington, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1518270446
Provider Enumeration Date: 07/20/2010
Last Update Date: 06/22/2024

Medicare PECOS Information:

PECOS PAC ID: 8729104898
Enrollment ID: I20100927000082

Medical Identifiers

Medical identifiers for Mrs Kerry Lynn Ketchale such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518270446	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	005794 (Connecticut)	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 Kerry Lynn Ketchale allows following entities to bill medicare on her behalf.

Entity Name	Just Breathe Connecticut, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821420977 PECOS PAC ID: 8921408071 Enrollment ID: O20210611001281

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 Kerry Lynn Ketchale 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 Kerry Lynn Ketchale, LCSW 420 Somers Rd, Ellington, CT 06029-2629 Ph: (860) 255-4475	Mrs Kerry Lynn Ketchale, LCSW 420 Somers Rd, Ellington, CT 06029-2629 Ph: (860) 255-4475

Reviews and Comments

Social Worker in Ellington, CT

Mary Kay Kittredge, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 420 Somers Rd, Ellington, CT 06029 Phone: 860-255-4475
Mrs. Lorinda B Spivey, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 100 West Rd Ste 3, Ellington, CT 06029 Phone: 860-454-0520 Fax: 860-454-8469
Dr. Karen Mcdaniel, PH.D. Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 5 Pease Farm Rd, Ellington, CT 06029 Phone: 860-798-5975
Ms. Christine Bartley, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 99 Stafford Rd Ste B-1, Ellington, CT 06029 Phone: 860-338-9596
Lisa P. Burch, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 19 Pinney St, Ellington, CT 06029 Phone: 860-871-9295 Fax: 860-871-9271
Ms. Rebecca Beth Krusinski, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 602 Autumn Chase, Ellington, CT 06029 Phone: 860-869-8819

Mrs Kerry Lynn Ketchale, LCSW - Medicare Clinical Social Worker in Ellington, CT