Kaitlyn Samantha Baker-wlodyka, is a medicare enrolled "Social Worker" provider in Willoughby, Ohio. She graduated from healthcare school in 2011 and has 13 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Psychological And Behavioral Consultants Llc and her current practice location is
38882 Mentor Ave, Willoughby, Ohio. You can reach out to her office (for appointments etc.) via phone at
(440) 953-9999.
Kaitlyn Samantha Baker-wlodyka is licensed to practice in Ohio (license number I.1700738-SUPV) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1750894721.
Healthcare Provider's Profile
| Full Name | Kaitlyn Samantha Baker-wlodyka |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 13 Years |
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| Location | 38882 Mentor Ave, Willoughby, Ohio |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kaitlyn Samantha Baker-wlodyka graduated from medical school in 2011
NPI Data:
- NPI Number: 1750894721
- Provider Enumeration Date: 11/13/2017
- Last Update Date: 10/07/2021
Medicare PECOS Information:
- PECOS PAC ID: 9537490149
- Enrollment ID: I20191014000913
Medical Identifiers
Medical identifiers for Kaitlyn Samantha Baker-wlodyka such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1750894721 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | I.1700738-SUPV (Ohio) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Psychological And Behavioral Consultants Llc | 0446243760 | 335 |
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. Kaitlyn Samantha Baker-wlodyka allows following entities to bill medicare on her behalf.
| Entity Name | Signature Health, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1679767289
PECOS PAC ID: 8628970985
Enrollment ID: O20040126000762 |
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| Entity Name | Psychological & Behavioral Consultants Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1811915713
PECOS PAC ID: 0446243760
Enrollment ID: O20040405000363 |
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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. Kaitlyn Samantha Baker-wlodyka 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 |
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Kaitlyn Samantha Baker-wlodyka,
38882 Mentor Ave,
Willoughby, OH 44094-7875
Ph: (440) 953-9999 | Kaitlyn Samantha Baker-wlodyka,
38882 Mentor Ave,
Willoughby, OH 44094-7875
Ph: (440) 953-9999 |
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