Kenneth Craig, MSW is a medicare enrolled "Social Worker - Clinical" provider in Goshen, Indiana. His current practice location is
213 Middlebury St, Goshen, Indiana. You can reach out to his office (for appointments etc.) via phone at
(574) 534-3300.
Kenneth Craig is licensed to practice in Indiana (license number 34008414A) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1366988537.
Healthcare Provider's Profile
Full Name | Kenneth Craig |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 213 Middlebury St, Goshen, Indiana |
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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: 1366988537
- Provider Enumeration Date: 01/12/2017
- Last Update Date: 02/10/2021
Medicare PECOS Information:
- PECOS PAC ID: 9133468499
- Enrollment ID: I20190304001604
Medical Identifiers
Medical identifiers for Kenneth Craig such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1366988537 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 34008414A (Indiana) | 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. Kenneth Craig allows following entities to bill medicare on his behalf.
Entity Name | Oaklawn Psychiatric Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1598847212 PECOS PAC ID: 6002801065 Enrollment ID: O20040419000647 |
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Entity Name | Maple City Health Care Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1033166095 PECOS PAC ID: 2163569401 Enrollment ID: O20110615000145 |
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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. Kenneth Craig 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 |
Kenneth Craig, MSW 213 Middlebury St, Goshen, IN 46528-2956 Ph: (574) 534-3300 | Kenneth Craig, MSW 213 Middlebury St, Goshen, IN 46528-2956 Ph: (574) 534-3300 |
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