Kaci Courtemanche, is a medicare enrolled "Social Worker" provider in Hartford, Connecticut. Her current practice location is
999 Asylum Ave Ste 502, Hartford, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(860) 422-8384.
Kaci Courtemanche is licensed to practice in * (Not Available) (license number ) 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 1669930426.
Healthcare Provider's Profile
| Full Name | Kaci Courtemanche |
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| Gender | Female |
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| Speciality | Social Worker |
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| Location | 999 Asylum Ave Ste 502, Hartford, Connecticut |
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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: 1669930426
- Provider Enumeration Date: 03/11/2019
- Last Update Date: 07/15/2020
Medicare PECOS Information:
- PECOS PAC ID: 1355705500
- Enrollment ID: I20230907000338
Medical Identifiers
Medical identifiers for Kaci Courtemanche such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1669930426 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | 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. Kaci Courtemanche allows following entities to bill medicare on her behalf.
| Entity Name | Charter Oak Family Center Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1538622618
PECOS PAC ID: 4082957014
Enrollment ID: O20190515001176 |
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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. Kaci Courtemanche 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 |
|---|
Kaci Courtemanche,
2 Waterside Xing Ste 401,
Windsor, CT 06095-1588
Ph: (860) 731-5522 | Kaci Courtemanche,
999 Asylum Ave Ste 502,
Hartford, CT 06105-2475
Ph: (860) 422-8384 |
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