Kathleen Ann Killeen, LICSW, MLADC, CAADC is a medicare enrolled "Social Worker - Clinical" provider in Lancaster, New Hampshire. She graduated from healthcare school in 2001 and has 23 years of diverse experience with area of expertise as Mental Health Counselor. She is a member of the group practice Weeks Medical Center and her current practice location is
173 Middle St, Lancaster, New Hampshire. You can reach out to her office (for appointments etc.) via phone at
(603) 788-4911.
Kathleen Ann Killeen is licensed to practice in New Hampshire (license number 2248) 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 1619428984.
Healthcare Provider's Profile
| Full Name | Kathleen Ann Killeen |
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| Gender | Female |
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| Speciality | Mental Health Counselor |
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| Experience | 23 Years |
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| Location | 173 Middle St, Lancaster, New Hampshire |
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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:
- Kathleen Ann Killeen graduated from medical school in 2001
NPI Data:
- NPI Number: 1619428984
- Provider Enumeration Date: 10/20/2016
- Last Update Date: 02/08/2024
Medicare PECOS Information:
- PECOS PAC ID: 7214200161
- Enrollment ID: I20240313004169
Medical Identifiers
Medical identifiers for Kathleen Ann Killeen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619428984 | NPI | - | NPPES |
| 3119205 | Medicaid | NH | |
| 6701953 | Medicaid | VT | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LC7484 (Maine) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 9733 (Pennsylvania) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1637 (Delaware) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1201 (New Hampshire) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1510134098 (Vermont) | Secondary |
| 104100000X | Social Worker | SW123039 (Pennsylvania) | Secondary |
| 104100000X | Social Worker | 17282 (Maryland) | Secondary |
| 104100000X | Social Worker | 44SL05713500 (New Jersey) | Secondary |
| 1041C0700X | Social Worker - Clinical | Q1-0001255 (Delaware) | Secondary |
| 1041C0700X | Social Worker - Clinical | 0890134255 (Vermont) | Secondary |
| 1041C0700X | Social Worker - Clinical | LC18875 (Maine) | Secondary |
| 1041C0700X | Social Worker - Clinical | 2248 (New Hampshire) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Weeks Medical Center | 2769461284 | 56 |
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. Kathleen Ann Killeen allows following entities to bill medicare on her behalf.
| Entity Name | Weeks Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1508819566
PECOS PAC ID: 2769461284
Enrollment ID: O20040719000284 |
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| Entity Name | Weeks Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1366900219
PECOS PAC ID: 2769461284
Enrollment ID: O20190507002245 |
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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. Kathleen Ann Killeen 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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Kathleen Ann Killeen, LICSW, MLADC, CAADC
173 Middle St,
Lancaster, NH 03584-3508
Ph: (603) 788-4911 | Kathleen Ann Killeen, LICSW, MLADC, CAADC
173 Middle St,
Lancaster, NH 03584-3508
Ph: (603) 788-4911 |
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