Mrs Pamela Sue Kerkstra, LCSW in Ardmore, OK - Medicare Social Worker Provider

Mrs Pamela Sue Kerkstra, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Ardmore, Oklahoma. Her current practice location is 2525 3rd Ave Ne, Ardmore, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (580) 223-2142.

Mrs Pamela Sue Kerkstra is licensed to practice in Oklahoma (license number 3453) 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 1821249293.

Contact Information

	Mrs Pamela Sue Kerkstra, LCSW
	2525 3rd Ave Ne, Ardmore, OK 73401-8122
	(580) 223-2142
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Pamela Sue Kerkstra
Gender	Female
Speciality	Social Worker - Clinical
Location	2525 3rd Ave Ne, Ardmore, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1821249293
Provider Enumeration Date: 10/03/2008
Last Update Date: 10/03/2008

Medicare PECOS Information:

PECOS PAC ID: 2860857166
Enrollment ID: I20230419003201

Medical Identifiers

Medical identifiers for Mrs Pamela Sue Kerkstra such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821249293	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	3453 (Oklahoma)	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 Pamela Sue Kerkstra allows following entities to bill medicare on her behalf.

Entity Name	Good Shepherd Community Clinic, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285010413 PECOS PAC ID: 4284936337 Enrollment ID: O20160106000675

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 Pamela Sue Kerkstra 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 Pamela Sue Kerkstra, LCSW 2525 3rd Ave Ne, Ardmore, OK 73401-8122 Ph: (580) 223-2142	Mrs Pamela Sue Kerkstra, LCSW 2525 3rd Ave Ne, Ardmore, OK 73401-8122 Ph: (580) 223-2142

Reviews and Comments

Social Worker in Ardmore, OK

Kimberly Nicole Husting, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1306 W Broadway St, Ardmore, OK 73401 Phone: 918-973-2451
Mr. Robert E. Lee, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2530 S. Commerce Bldg A, Ardmore, OK 73402 Phone: 580-223-5070 Fax: 580-223-5617
Ms. Glenna G Pierce-thorstenberg, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2208 Hickory Dr, Ardmore, OK 73401 Phone: 580-226-7286

Mrs Pamela Sue Kerkstra, LCSW - Medicare Clinical Social Worker in Ardmore, OK