Chassidy Ison, LPP is a medicare enrolled "Psychologist - Clinical" provider in West Liberty, Kentucky. Her current practice location is
767 Main St, West Liberty, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(606) 329-8588.
Chassidy Ison is licensed to practice in Kentucky (license number 264783) 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 1447664479.
Healthcare Provider's Profile
| Full Name | Chassidy Ison |
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| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 767 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: 1447664479
- Provider Enumeration Date: 06/18/2014
- Last Update Date: 08/01/2024
Medicare PECOS Information:
- PECOS PAC ID: 0749693018
- Enrollment ID: I20210105001723
Medical Identifiers
Medical identifiers for Chassidy Ison such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1447664479 | NPI | - | NPPES |
| 30610026 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | UNLICENSED (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | PSYPAS00220824 (Kentucky) | Secondary |
| 103TC0700X | Psychologist - Clinical | 264783 (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. Chassidy Ison allows following entities to bill medicare on her behalf.
| Entity Name | Pathways Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1982615043
PECOS PAC ID: 1254239171
Enrollment ID: O20031230000043 |
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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. Chassidy Ison 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 |
|---|
Chassidy Ison, LPP
Po Box 790,
Ashland, KY 41105-0790
Ph: (606) 329-8588 | Chassidy Ison, LPP
767 Main St,
West Liberty, KY 41472-1019
Ph: (606) 329-8588 |
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