Katheryn Lane Mcdonough, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Los Angeles, California. Her current practice location is
4470 W Sunset Blvd Ste 107, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at
(707) 502-2577.
Katheryn Lane Mcdonough is licensed to practice in California (license number 106420) 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 1275947681.
Healthcare Provider's Profile
Full Name | Katheryn Lane Mcdonough |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 4470 W Sunset Blvd Ste 107, Los Angeles, California |
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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: 1275947681
- Provider Enumeration Date: 06/13/2014
- Last Update Date: 02/27/2023
Medicare PECOS Information:
- PECOS PAC ID: 0749667269
- Enrollment ID: I20220521000142
Medical Identifiers
Medical identifiers for Katheryn Lane Mcdonough such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1275947681 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 106420 (California) | 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. Katheryn Lane Mcdonough allows following entities to bill medicare on her behalf.
Entity Name | Southern Humboldt Community Healthcare District |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1003819376 PECOS PAC ID: 8820982879 Enrollment ID: O20100106000632 |
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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. Katheryn Lane Mcdonough 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 |
Katheryn Lane Mcdonough, LCSW Po Box 6829, Eureka, CA 95502-6829 Ph: () - | Katheryn Lane Mcdonough, LCSW 4470 W Sunset Blvd Ste 107, Los Angeles, CA 90027-6309 Ph: (707) 502-2577 |
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