Casey Malia Vincent, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Kellogg, Idaho. Her current practice location is
740 Mckinley Ave, Kellogg, Idaho. You can reach out to her office (for appointments etc.) via phone at
(208) 783-1267.
Casey Malia Vincent is licensed to practice in Idaho (license number 40088) 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 1679094940.
Healthcare Provider's Profile
| Full Name | Casey Malia Vincent |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 740 Mckinley Ave, Kellogg, Idaho |
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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: 1679094940
- Provider Enumeration Date: 06/27/2017
- Last Update Date: 10/05/2020
Medicare PECOS Information:
- PECOS PAC ID: 7618387184
- Enrollment ID: I20201119001728
Medical Identifiers
Medical identifiers for Casey Malia Vincent such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679094940 | NPI | - | NPPES |
| 36778 | Other | ID | STATE LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | LMSW-36778 (Idaho) | Secondary |
| 104100000X | Social Worker | 36778 (Idaho) | Secondary |
| 1041C0700X | Social Worker - Clinical | 40088 (Idaho) | 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. Casey Malia Vincent allows following entities to bill medicare on her behalf.
| Entity Name | Dirne Health Centers, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1285686477
PECOS PAC ID: 2466353354
Enrollment ID: O20050303001041 |
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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. Casey Malia Vincent 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 |
|---|
Casey Malia Vincent, LCSW
Po Box 1387,
Hayden, ID 83835-1387
Ph: (208) 415-0299 | Casey Malia Vincent, LCSW
740 Mckinley Ave,
Kellogg, ID 83837-2693
Ph: (208) 783-1267 |
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