Katrina Connell, LISW is a medicare enrolled "Social Worker - Clinical" provider in Dayton, Ohio. Her current practice location is
5563 Far Hills Ave, Dayton, Ohio. You can reach out to her office (for appointments etc.) via phone at
(937) 291-2300.
Katrina Connell is licensed to practice in Ohio (license number I.2304605) 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 1346728714.
Healthcare Provider's Profile
| Full Name | Katrina Connell |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 5563 Far Hills Ave, Dayton, Ohio |
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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: 1346728714
- Provider Enumeration Date: 07/30/2018
- Last Update Date: 03/22/2024
Medicare PECOS Information:
- PECOS PAC ID: 7416309919
- Enrollment ID: I20240119003939
Medical Identifiers
Medical identifiers for Katrina Connell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1346728714 | NPI | - | NPPES |
| 0333299 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 166548 (Ohio) | Secondary |
| 104100000X | Social Worker | S.1903328 (Ohio) | Secondary |
| 104100000X | Social Worker | I.2304605 (Ohio) | Secondary |
| 405300000X | Prevention Professional | 161761 (Ohio) | Secondary |
| 1041C0700X | Social Worker - Clinical | I.2304605 (Ohio) | 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. Katrina Connell allows following entities to bill medicare on her behalf.
| Entity Name | Katie Knox Lpcc Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1992153456
PECOS PAC ID: 6507134558
Enrollment ID: O20170614002771 |
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| Entity Name | Kav Health Group Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1891332946
PECOS PAC ID: 2466806864
Enrollment ID: O20231003002051 |
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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. Katrina Connell 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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Katrina Connell, LISW
5563 Far Hills Ave,
Dayton, OH 45429-2225
Ph: (937) 291-2300 | Katrina Connell, LISW
5563 Far Hills Ave,
Dayton, OH 45429-2225
Ph: (937) 291-2300 |
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