Kathy Lynn Pfaffe, LPSW, LPC, LMSW is a medicare enrolled "Social Worker" provider in Hannibal, Missouri. Her current practice location is
1221 Broadway, Hannibal, Missouri. You can reach out to her office (for appointments etc.) via phone at
(573) 221-2111.
Kathy Lynn Pfaffe is licensed to practice in Missouri (license number 2010034145) 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 1841522513.
Healthcare Provider's Profile
| Full Name | Kathy Lynn Pfaffe |
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| Gender | Female |
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| Speciality | Social Worker |
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| Location | 1221 Broadway, Hannibal, Missouri |
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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: 1841522513
- Provider Enumeration Date: 02/05/2010
- Last Update Date: 06/29/2023
Medicare PECOS Information:
- PECOS PAC ID: 6002094844
- Enrollment ID: I20110628000039
Medical Identifiers
Medical identifiers for Kathy Lynn Pfaffe such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1841522513 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | 150.002540 (Illinois) | Secondary |
| 104100000X | Social Worker | 2010034145 (Missouri) | 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 Lynn Pfaffe allows following entities to bill medicare on her behalf.
| Entity Name | White Oak Counseling Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1750586103
PECOS PAC ID: 3173613163
Enrollment ID: O20071213000761 |
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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 Lynn Pfaffe 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 Lynn Pfaffe, LPSW, LPC, LMSW
224 1/2 N 18th St,
Quincy, IL 62301-3112
Ph: (573) 217-7797 | Kathy Lynn Pfaffe, LPSW, LPC, LMSW
1221 Broadway,
Hannibal, MO 63401-4005
Ph: (573) 221-2111 |
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