Kathy I Mohlfeld, LCSW, EDD is a medicare enrolled "Social Worker - Clinical" provider in Wayne, Nebraska. Her current practice location is
1200 Providence Rd, Wayne, Nebraska. You can reach out to her office (for appointments etc.) via phone at
(402) 375-3800.
Kathy I Mohlfeld is licensed to practice in Nebraska (license number 893) 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 1326504267.
Healthcare Provider's Profile
Full Name | Kathy I Mohlfeld |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 1200 Providence Rd, Wayne, Nebraska |
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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: 1326504267
- Provider Enumeration Date: 02/15/2019
- Last Update Date: 02/15/2019
Medicare PECOS Information:
- PECOS PAC ID: 0042551095
- Enrollment ID: I20190401001761
Medical Identifiers
Medical identifiers for Kathy I Mohlfeld such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1326504267 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 1881 (Nebraska) | Secondary |
1041C0700X | Social Worker - Clinical | 893 (Nebraska) | 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. Kathy I Mohlfeld allows following entities to bill medicare on her behalf.
Entity Name | Providence Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1801867494 PECOS PAC ID: 4587629928 Enrollment ID: O20041124000342 |
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Entity Name | Providence Medical Center |
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Entity Type | Part A Provider - Critical Access Hospital |
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Entity Identifiers | NPI Number: 1801867494 PECOS PAC ID: 4587629928 Enrollment ID: O20071129000010 |
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Entity Name | Pender Community Hospital District |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1992869101 PECOS PAC ID: 3971412842 Enrollment ID: O20090206000139 |
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Entity Name | Providence Medical Center |
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Entity Type | Part A Provider - Critical Access Hospital |
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Entity Identifiers | NPI Number: 1255470092 PECOS PAC ID: 4587629928 Enrollment ID: O20090619000444 |
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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. Kathy I Mohlfeld 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 |
Kathy I Mohlfeld, LCSW, EDD 1200 Providence Rd, Wayne, NE 68787-1299 Ph: (402) 375-3800 | Kathy I Mohlfeld, LCSW, EDD 1200 Providence Rd, Wayne, NE 68787-1299 Ph: (402) 375-3800 |
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