Kallie Duda, LCSW-C is a medicare enrolled "Social Worker - Clinical" provider in Gaithersburg, Maryland. Her current practice location is
9711 Washingtonian Blvd Ste 550, Gaithersburg, Maryland. You can reach out to her office (for appointments etc.) via phone at
(240) 384-3442.
Kallie Duda is licensed to practice in Maryland (license number 28577) 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 1184353351.
Healthcare Provider's Profile
Full Name | Kallie Duda |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 9711 Washingtonian Blvd Ste 550, Gaithersburg, Maryland |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1184353351
- Provider Enumeration Date: 06/06/2022
- Last Update Date: 09/24/2024
Medicare PECOS Information:
- PECOS PAC ID: 1658803838
- Enrollment ID: I20241011004111
Medical Identifiers
Medical identifiers for Kallie Duda such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1184353351 | NPI | - | NPPES |
28577 | Other | MD | LICENSE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 28577 (Maryland) | Secondary |
104100000X | Social Worker | 28577 (Maryland) | Secondary |
1041C0700X | Social Worker - Clinical | 28577 (Maryland) | 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. Kallie Duda allows following entities to bill medicare on her behalf.
Entity Name | Privia Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20050422000298 |
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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. Kallie Duda 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 |
Kallie Duda, LCSW-C 2103 Hancock Dr, Upper Marlboro, MD 20774-5616 Ph: () - | Kallie Duda, LCSW-C 9711 Washingtonian Blvd Ste 550, Gaithersburg, MD 20878-5789 Ph: (240) 384-3442 |
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