Kathryn A Lawrence, MSW, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Fort Wayne, Indiana. Her current practice location is
6105 Constitution Dr, Fort Wayne, Indiana. You can reach out to her office (for appointments etc.) via phone at
(260) 450-9665.
Kathryn A Lawrence is licensed to practice in Indiana (license number 34007473A) 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 1053566182.
Healthcare Provider's Profile
Full Name | Kathryn A Lawrence |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 6105 Constitution Dr, Fort Wayne, Indiana |
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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: 1053566182
- Provider Enumeration Date: 11/17/2008
- Last Update Date: 12/14/2023
Medicare PECOS Information:
- PECOS PAC ID: 9830575448
- Enrollment ID: I20221005002801
Medical Identifiers
Medical identifiers for Kathryn A Lawrence such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053566182 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 34007473A (Indiana) | Primary |
101YS0200X | Counselor - School | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
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. Kathryn A Lawrence allows following entities to bill medicare on her behalf.
Entity Name | R P Therapy Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1912667478 PECOS PAC ID: 4789076373 Enrollment ID: O20220111000861 |
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Entity Name | K A Lawrence Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1104514405 PECOS PAC ID: 1355706995 Enrollment ID: O20230503001962 |
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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. Kathryn A Lawrence 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 |
Kathryn A Lawrence, MSW, LCSW 101 Oak St, Portland, IN 47371-3040 Ph: (317) 727-9223 | Kathryn A Lawrence, MSW, LCSW 6105 Constitution Dr, Fort Wayne, IN 46804-1525 Ph: (260) 450-9665 |
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