Ms Karen Theresa Cummings-lilly, LCSW - Medicare Clinical Social Worker in Newbury Park, CA

Ms Karen Theresa Cummings-lilly, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Newbury Park, California. She graduated from medical school in 1985 and has 39 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Growing Minds Psychological Corporation and her current practice location is 784 Hanover Ave, Newbury Park, California. You can reach out to her office (for appointments etc.) via phone at (304) 640-5666.

Ms Karen Theresa Cummings-lilly is licensed to practice in West Virginia (license number DP00940864) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1063564953.

Contact Information

Ms Karen Theresa Cummings-lilly, LCSW
784 Hanover Ave,
Newbury Park, CA 91320-5426
(304) 640-5666
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMs Karen Theresa Cummings-lilly
GenderFemale
SpecialityClinical Social Worker
Experience39 Years
Location784 Hanover Ave, Newbury Park, California
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ms Karen Theresa Cummings-lilly graduated from medical school in 1985
  NPI Data:
  • NPI Number: 1063564953
  • Provider Enumeration Date: 01/18/2007
  • Last Update Date: 08/05/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 6901025907
  • Enrollment ID: I20140923002015

Medical Identifiers

Medical identifiers for Ms Karen Theresa Cummings-lilly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063564953NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical DP00940864 (West Virginia)Primary
1041C0700XSocial Worker - Clinical LCS 13274 (California)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Growing Minds Psychological Corporation38708174147

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. Ms Karen Theresa Cummings-lilly allows following entities to bill medicare on her behalf.
Entity NameGrowing Minds Psychological Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588068787
PECOS PAC ID: 3870817414
Enrollment ID: O20150130000916

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 Theresa Cummings-lilly 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 AddressPractice Location Address
Ms Karen Theresa Cummings-lilly, LCSW
784 Hanover Ave,
Newbury Park, CA 91320-5426

Ph: (304) 640-5666
Ms Karen Theresa Cummings-lilly, LCSW
784 Hanover Ave,
Newbury Park, CA 91320-5426

Ph: (304) 640-5666

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.