Kellie H Medendorp, LSW in Fort Washington, PA

Kellie H Medendorp, LSW is a medicare enrolled "Counselor - Addiction (substance Use Disorder)" provider in Fort Washington, Pennsylvania. Her current practice location is 1035 Virginia Dr Ste 130, Fort Washington, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (610) 745-4717.

Kellie H Medendorp is licensed to practice in * (Not Available) (license number ) 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 1588163158.

Contact Information

	Kellie H Medendorp, LSW
	1035 Virginia Dr Ste 130, Fort Washington, PA 19034-3103
	(610) 745-4717
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kellie H Medendorp
Gender	Female
Speciality	Counselor - Addiction (substance Use Disorder)
Location	1035 Virginia Dr Ste 130, Fort Washington, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588163158
Provider Enumeration Date: 02/08/2018
Last Update Date: 02/08/2018

Medicare PECOS Information:

PECOS PAC ID: 9537539812
Enrollment ID: I20230102000069

Medical Identifiers

Medical identifiers for Kellie H Medendorp such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588163158	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	(* (Not Available))	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. Kellie H Medendorp allows following entities to bill medicare on her behalf.

Entity Name	Equilibria Mental Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225792872 PECOS PAC ID: 5698166783 Enrollment ID: O20211228001562

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. Kellie H Medendorp 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
Kellie H Medendorp, LSW 1035 Virginia Dr Ste 130, Fort Washington, PA 19034-3103 Ph: (610) 745-4717	Kellie H Medendorp, LSW 1035 Virginia Dr Ste 130, Fort Washington, PA 19034-3103 Ph: (610) 745-4717

Reviews and Comments

Counselor in Fort Washington, PA

Jessica Moore, Counselor Medicare: Not Enrolled in Medicare Practice Location: 550 Pinetown Rd Ste 150, Fort Washington, PA 19034 Phone: 215-638-5200
Lee Anne Janney Larosa, MS, MSC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 540 Pennsylvania Ave Ste 325, Fort Washington, PA 19034 Phone: 215-430-2913
Dana Marie Weachter, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 426 Pennsylvania Ave, Suite 101, Fort Washington, PA 19034 Phone: 215-868-6988
Mr. Antonio Scalise, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 550 Pinetown Rd, Suite 350, Fort Washington, PA 19034 Phone: 215-643-0200
Dr. Carol Wolf Wittman, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 7237 Hollywood Road, Fort Washington, PA 19034 Phone: 215-628-4440
Mr. Scott A Horowitz, LPC, MT-BC, ACS Counselor Medicare: Not Enrolled in Medicare Practice Location: 550 Pinetown Rd Ste 430, Fort Washington, PA 19034 Phone: 267-460-1420 Fax: 267-947-8065
Judy J Kaplan, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1208 Warden Way, Fort Washington, Fort Washington, PA 19034 Phone: 215-628-9086

Kellie H Medendorp, LSW - Medicare Counselor in Fort Washington, PA