Mrs Kim Stacey Spicciatie, LCSW in East Islip, NY - Medicare Social Worker Provider

Mrs Kim Stacey Spicciatie, LCSW is a medicare enrolled "Social Worker - Clinical" provider in East Islip, New York. Her current practice location is 153 Simmons Dr, East Islip, New York. You can reach out to her office (for appointments etc.) via phone at (631) 859-0738.

Mrs Kim Stacey Spicciatie is licensed to practice in New York (license number 078707) 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 1679857262.

Contact Information

	Mrs Kim Stacey Spicciatie, LCSW
	153 Simmons Dr, East Islip, NY 11730-3436
	(631) 859-0738
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Kim Stacey Spicciatie
Gender	Female
Speciality	Social Worker - Clinical
Location	153 Simmons Dr, East Islip, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679857262
Provider Enumeration Date: 10/01/2011
Last Update Date: 03/02/2012

Medicare PECOS Information:

PECOS PAC ID: 1557535721
Enrollment ID: I20240409001928

Medical Identifiers

Medical identifiers for Mrs Kim Stacey Spicciatie such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679857262	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	078707 (New York)	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 Kim Stacey Spicciatie allows following entities to bill medicare on her behalf.

Entity Name	North Shore - Lij Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262

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 Kim Stacey Spicciatie 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 Kim Stacey Spicciatie, LCSW 153 Simmons Dr, East Islip, NY 11730-3436 Ph: (631) 859-0738	Mrs Kim Stacey Spicciatie, LCSW 153 Simmons Dr, East Islip, NY 11730-3436 Ph: (631) 859-0738

Reviews and Comments

Social Worker in East Islip, NY

Diane Kristina Witmer, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 56 Marilynn St, East Islip, NY 11730 Phone: 631-338-3913
Mrs. Jennifer Lynn Stinson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 107 W Main St, East Islip, NY 11730 Phone: 631-666-1615
Mrs. Suzanne Mary Bevis, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 107 W Main St, East Islip, NY 11730 Phone: 631-666-1615 Fax: 631-666-1709
Mr. John Micheal Moore, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 15 Bayview Ave, East Islip, NY 11730 Phone: 631-581-2542
Mrs. Helene Dellas-dibona, L.C.S.W.-R Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 216 Carleton Avenue, East Islip, NY 11730 Phone: 516-808-2488
Mary Ozegovich, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6 Suffolk Ln, East Islip, NY 11730 Phone: 631-921-3558
Ms. Susan Pilon, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 55 Carleton Ave, East Islip, NY 11730 Phone: 631-835-4750

Mrs Kim Stacey Spicciatie, LCSW - Medicare Clinical Social Worker in East Islip, NY