Kayla Cheatum, LCSW, LCADC is a medicare enrolled "Social Worker - Clinical" provider in Keyport, New Jersey. Her current practice location is
114 Broad St, Keyport, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(848) 444-5449.
Kayla Cheatum is licensed to practice in New Jersey (license number 44SC06102500) 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 1003504374.
Healthcare Provider's Profile
Full Name | Kayla Cheatum |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 114 Broad St, Keyport, New Jersey |
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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: 1003504374
- Provider Enumeration Date: 04/25/2023
- Last Update Date: 04/25/2023
Medicare PECOS Information:
- PECOS PAC ID: 2769846484
- Enrollment ID: I20230914000728
Medical Identifiers
Medical identifiers for Kayla Cheatum such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1003504374 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 37LC00356400 (New Jersey) | Secondary |
1041C0700X | Social Worker - Clinical | 44SC06102500 (New Jersey) | 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. Kayla Cheatum allows following entities to bill medicare on her behalf.
Entity Name | Nynj Psychiatric Associates Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1477859544 PECOS PAC ID: 2961689989 Enrollment ID: O20110531000452 |
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Entity Name | Supportive Care Psychology Of Nj Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1356840003 PECOS PAC ID: 6002162252 Enrollment ID: O20180702002104 |
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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. Kayla Cheatum 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 |
Kayla Cheatum, LCSW, LCADC 114 Broad St, Keyport, NJ 07735-1203 Ph: (848) 444-5449 | Kayla Cheatum, LCSW, LCADC 114 Broad St, Keyport, NJ 07735-1203 Ph: (848) 444-5449 |
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