Tracy Jewell Elam, LCSW is a medicare enrolled "Social Worker - Clinical" provider in West Liberty, Kentucky. Her current practice location is
905 Main St, West Liberty, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(606) 743-4808.
Tracy Jewell Elam is licensed to practice in Kentucky (license number 252244) 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 1699957704.
Healthcare Provider's Profile
| Full Name | Tracy Jewell Elam |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 905 Main St, West Liberty, Kentucky |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1699957704
- Provider Enumeration Date: 11/30/2007
- Last Update Date: 11/02/2020
Medicare PECOS Information:
- PECOS PAC ID: 2062878754
- Enrollment ID: I20230523001503
Medical Identifiers
Medical identifiers for Tracy Jewell Elam such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1699957704 | NPI | - | NPPES |
| 252244 | Other | KY | LCSW LICENSURE |
| 7100499630 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | 252244 (Kentucky) | 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. Tracy Jewell Elam allows following entities to bill medicare on her behalf.
| Entity Name | Centerwell Senior Primary Care Ky Psc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1376282038
PECOS PAC ID: 8022492024
Enrollment ID: O20220824003346 |
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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. Tracy Jewell Elam 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 |
|---|
Tracy Jewell Elam, LCSW
Po Box 690,
Beattyville, KY 41311-0690
Ph: (606) 464-0151 | Tracy Jewell Elam, LCSW
905 Main St,
West Liberty, KY 41472-1023
Ph: (606) 743-4808 |
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