Ms Karen Edana Chalom, LICSW is a medicare enrolled "Social Worker - Clinical" provider in South Pomfret, Vermont. Her current practice location is
4056 Pomfret Road, South Pomfret, Vermont. You can reach out to her office (for appointments etc.) via phone at
(802) 457-6191.
Ms Karen Edana Chalom is licensed to practice in Vermont (license number 0890000996) 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 1164589735.
Healthcare Provider's Profile
Full Name | Ms Karen Edana Chalom |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 4056 Pomfret Road, South Pomfret, Vermont |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1164589735
- Provider Enumeration Date: 01/03/2007
- Last Update Date: 09/05/2013
Medicare PECOS Information:
- PECOS PAC ID: 4688605264
- Enrollment ID: I20050823000932
Medical Identifiers
Medical identifiers for Ms Karen Edana Chalom such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1164589735 | NPI | - | NPPES |
1011535 | Medicaid | VT | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 0890000996 (Vermont) | Primary |
1041C0700X | Social Worker - Clinical | 12794 (Minnesota) | Secondary |
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. Ms Karen Edana Chalom 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 |
Ms Karen Edana Chalom, LICSW Po Box 109, 4056 Pomfret Road, South Pomfret, VT 05067-0109 Ph: (802) 457-6191 | Ms Karen Edana Chalom, LICSW 4056 Pomfret Road, South Pomfret, VT 05067-0109 Ph: (802) 457-6191 |
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