Kathryn Hamma Clavin-vunkannon, LMSW, LCSW, CASAC is a medicare enrolled "Social Worker - Clinical" provider in Manorville, New York. Her current practice location is
24 Winding Path, Manorville, New York. You can reach out to her office (for appointments etc.) via phone at
(631) 905-9998.
Kathryn Hamma Clavin-vunkannon is licensed to practice in New York (license number 085891) 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 1114331410.
Healthcare Provider's Profile
| Full Name | Kathryn Hamma Clavin-vunkannon |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 24 Winding Path, Manorville, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1114331410
- Provider Enumeration Date: 06/13/2014
- Last Update Date: 01/27/2020
Medicare PECOS Information:
- PECOS PAC ID: 5395008007
- Enrollment ID: I20180411000931
Medical Identifiers
Medical identifiers for Kathryn Hamma Clavin-vunkannon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1114331410 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 31376 (New York) | Secondary |
| 104100000X | Social Worker | 085650 (New York) | Secondary |
| 1041C0700X | Social Worker - Clinical | 085891 (New York) | 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. Kathryn Hamma Clavin-vunkannon allows following entities to bill medicare on her behalf.
| Entity Name | Sun River Health Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1568526838
PECOS PAC ID: 6608783568
Enrollment ID: O20040714000375 |
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| Entity Name | Aid To The Developmentally Disabled Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1912575762
PECOS PAC ID: 1658762182
Enrollment ID: O20211216002901 |
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| Entity Name | Grow Healthcare Group Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245845932
PECOS PAC ID: 3476961368
Enrollment ID: O20221117000517 |
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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 Hamma Clavin-vunkannon 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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Kathryn Hamma Clavin-vunkannon, LMSW, LCSW, CASAC
24 Winding Path,
Manorville, NY 11949-2251
Ph: (631) 905-9998 | Kathryn Hamma Clavin-vunkannon, LMSW, LCSW, CASAC
24 Winding Path,
Manorville, NY 11949-2251
Ph: (631) 905-9998 |
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