Kevin P Lunog, LCSW, CSAC is a medicare enrolled "Social Worker - Clinical" provider in Mauston, Wisconsin. His current practice location is
200 Hickory Street, Mauston, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(608) 847-2400.
Kevin P Lunog is licensed to practice in Wisconsin (license number 3191-123) 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 1790958973.
Healthcare Provider's Profile
| Full Name | Kevin P Lunog |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 200 Hickory Street, Mauston, Wisconsin |
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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: 1790958973
- Provider Enumeration Date: 04/08/2008
- Last Update Date: 04/19/2021
Medicare PECOS Information:
- PECOS PAC ID: 7719250091
- Enrollment ID: I20170907003771
Medical Identifiers
Medical identifiers for Kevin P Lunog such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790958973 | NPI | - | NPPES |
| 39273700 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1594-132 (Wisconsin) | Secondary |
| 101YP2500X | Counselor - Professional | 1020 (Wisconsin) | Secondary |
| 101YP2500X | Counselor - Professional | 1020-125 (Wisconsin) | Secondary |
| 1041C0700X | Social Worker - Clinical | 3191 (Wisconsin) | Secondary |
| 1041C0700X | Social Worker - Clinical | 3191-123 (Wisconsin) | 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. Kevin P Lunog allows following entities to bill medicare on his behalf.
| Entity Name | Juneau County |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1487691697
PECOS PAC ID: 5395759047
Enrollment ID: O20060331000205 |
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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. Kevin P Lunog 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 |
|---|
Kevin P Lunog, LCSW, CSAC
200 Hickory Street,
Mauston, WI 53948
Ph: (608) 847-2400 | Kevin P Lunog, LCSW, CSAC
200 Hickory Street,
Mauston, WI 53948
Ph: (608) 847-2400 |
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