Kellie Mcdougall Lewis, LISW-CP, CAC-AD is a medicare enrolled "Social Worker - Clinical" provider in Myrtle Beach, South Carolina. She graduated from healthcare school in 2001 and has 23 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Real Counseling Llc and her current practice location is
9403 Highway 707 Ste B, Myrtle Beach, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(843) 273-0077.
Kellie Mcdougall Lewis is licensed to practice in South Carolina (license number 10157) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1265421937.
Healthcare Provider's Profile
| Full Name | Kellie Mcdougall Lewis |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 23 Years |
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| Location | 9403 Highway 707 Ste B, Myrtle Beach, South Carolina |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kellie Mcdougall Lewis graduated from medical school in 2001
NPI Data:
- NPI Number: 1265421937
- Provider Enumeration Date: 10/17/2005
- Last Update Date: 01/31/2014
Medicare PECOS Information:
- PECOS PAC ID: 8628204096
- Enrollment ID: I20131114000444
Medical Identifiers
Medical identifiers for Kellie Mcdougall Lewis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1265421937 | NPI | - | NPPES |
| C916 | Other | SC | GROUP REAL COUNSELING LLC |
| SC1938C916 | Other | SC | MEDICARE PTAN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | AC0396 (Maryland) | Secondary |
| 1041C0700X | Social Worker - Clinical | 10157 (South Carolina) | Primary |
| 1041C0700X | Social Worker - Clinical | 14474 (Maryland) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Real Counseling Llc | 1759517121 | 3 |
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 Mcdougall Lewis allows following entities to bill medicare on her behalf.
| Entity Name | Real Counseling Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1518262138
PECOS PAC ID: 1759517121
Enrollment ID: O20131114000332 |
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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. Kellie Mcdougall Lewis 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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Kellie Mcdougall Lewis, LISW-CP, CAC-AD
Po Box 31447,
Myrtle Beach, SC 29588-0025
Ph: (843) 273-0077 | Kellie Mcdougall Lewis, LISW-CP, CAC-AD
9403 Highway 707 Ste B,
Myrtle Beach, SC 29588-7758
Ph: (843) 273-0077 |
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