Ms Kawana (kay) Collake, LCSW in Johnson City, TN - Medicare Social Worker Provider

Ms Kawana (kay) Collake, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Johnson City, Tennessee. Her current practice location is 403 Princeton Rd Ste 2, Johnson City, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 741-5644.

Ms Kawana (kay) Collake is licensed to practice in Tennessee (license number 8400) 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 1114621828.

Contact Information

	Ms Kawana (kay) Collake, LCSW
	403 Princeton Rd Ste 2, Johnson City, TN 37601-2040
	(423) 741-5644
	(423) 714-3116

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Kawana (kay) Collake
Gender	Female
Speciality	Social Worker - Clinical
Location	403 Princeton Rd Ste 2, Johnson City, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114621828
Provider Enumeration Date: 03/28/2023
Last Update Date: 03/28/2023

Medicare PECOS Information:

PECOS PAC ID: 4789126574
Enrollment ID: I20240607002539

Medical Identifiers

Medical identifiers for Ms Kawana (kay) Collake such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114621828	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	8400 (Tennessee)	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. Ms Kawana (kay) Collake 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: O20221116002565

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 Kawana (kay) Collake 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 Kawana (kay) Collake, LCSW 403 Princeton Rd Ste 2, Johnson City, TN 37601-2040 Ph: (423) 741-5644	Ms Kawana (kay) Collake, LCSW 403 Princeton Rd Ste 2, Johnson City, TN 37601-2040 Ph: (423) 741-5644

Reviews and Comments

Social Worker in Johnson City, TN

Mrs. Krysten Kelch, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 112 E Myrtle Ave Ste 300, Johnson City, TN 37601 Phone: 423-461-0015
Deborah Ann Thibeault, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 325 N State Of Franklin Rd, Johnson City, TN 37604 Phone: 423-439-7320 Fax: 423-439-7343
Mr. Jay Richard Shilling, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1416 S Roan St, Oaks Castle Clinic, Johnson City, TN 37601 Phone: 423-979-6257
Amy Michelle Roberts, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1211 King Springs Rd Apt 606, Johnson City, TN 37601 Phone: 423-946-4938
Sarah Grace Mccray, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 114 E Unaka Ave, Johnson City, TN 37601 Phone: 865-281-1408 Fax: 865-244-3579
Mrs. Leah Elizabeth Roth, MSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2333 Knob Creek Rd, Suite 11, Johnson City, TN 37604 Phone: 423-952-0500 Fax: 423-952-0005

Ms Kawana (kay) Collake, LCSW - Medicare Clinical Social Worker in Johnson City, TN