Mrs Maryanne Kudlek, in Waxhaw, NC - Medicare Social Worker Provider

Mrs Maryanne Kudlek, is a medicare enrolled "Social Worker - Clinical" provider in Waxhaw, North Carolina. Her current practice location is 5029 Henshaw Rd, Waxhaw, North Carolina. You can reach out to her office (for appointments etc.) via phone at (631) 790-5122.

Mrs Maryanne Kudlek is licensed to practice in North Carolina (license number 16130) 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 1336900596.

Contact Information

	Mrs Maryanne Kudlek,
	5029 Henshaw Rd, Waxhaw, NC 28173-4546
	(631) 790-5122
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Maryanne Kudlek
Gender	Female
Speciality	Social Worker - Clinical
Location	5029 Henshaw Rd, Waxhaw, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336900596
Provider Enumeration Date: 01/16/2024
Last Update Date: 01/16/2024

Medicare PECOS Information:

PECOS PAC ID: 6103263843
Enrollment ID: I20240318001938

Medical Identifiers

Medical identifiers for Mrs Maryanne Kudlek such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336900596	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	16130 (North Carolina)	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 Maryanne Kudlek allows following entities to bill medicare on her behalf.

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20221117000517

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 Maryanne Kudlek 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 Maryanne Kudlek, 5029 Henshaw Rd, Waxhaw, NC 28173-4546 Ph: (631) 790-5122	Mrs Maryanne Kudlek, 5029 Henshaw Rd, Waxhaw, NC 28173-4546 Ph: (631) 790-5122

Reviews and Comments

Social Worker in Waxhaw, NC

Caroline Corzine, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 409 Amersham Ln, Waxhaw, NC 28173 Phone: 610-585-0850
Constance Elaine Perkins, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 105 Waxhaw Professional Park Dr Ste H, Waxhaw, NC 28173 Phone: 704-256-0305 Fax: 704-256-9968
Tyrone Thomas Matthews, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 9929 Rea Rd Ste 201, Waxhaw, NC 28173 Phone: 704-316-1650 Fax: 704-316-1651
Mrs. Alexandra Judith Lagunas, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 9929 Rea Rd Ste 201, Waxhaw, NC 28173 Phone: 704-316-1650 Fax: 704-316-1651
Daune W Rodman, MSW, LCSW, LISW-CP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9203 Random Rd, Waxhaw, NC 28173 Phone: 704-999-3942
Melissa Magee-kakouras, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 216a W. North Main Street, Waxhaw, NC 28173 Phone: 704-560-4918 Fax: 704-243-1799
Eden Bozza, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 105 Waxhaw Professional Park Dr Ste H, Waxhaw, NC 28173 Phone: 704-256-0305

Mrs Maryanne Kudlek, - Medicare Clinical Social Worker in Waxhaw, NC