Kristel Calderon, LCSW - Medicare Counselor in Kearny, NJ

Kristel Calderon, LCSW is a medicare enrolled "Counselor - Mental Health" provider in Kearny, New Jersey. Her current practice location is 9 Basin Dr Ste 190, Kearny, New Jersey. You can reach out to her office (for appointments etc.) via phone at (973) 982-6278.

Kristel Calderon is licensed to practice in New Jersey (license number 44SC06224400) 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 1932892676.

Contact Information

Kristel Calderon, LCSW
9 Basin Dr Ste 190,
Kearny, NJ 07032-6521
(973) 982-6278
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameKristel Calderon
GenderFemale
SpecialityCounselor - Mental Health
Location9 Basin Dr Ste 190, Kearny, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1932892676
  • Provider Enumeration Date: 05/30/2023
  • Last Update Date: 05/30/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5496109209
  • Enrollment ID: I20230927004322

Medical Identifiers

Medical identifiers for Kristel Calderon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1932892676NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health 44SC06224400 (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. Kristel Calderon allows following entities to bill medicare on her behalf.
Entity NameMariam Rothfritz Phd And Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639606825
PECOS PAC ID: 9032502331
Enrollment ID: O20220209001736

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. Kristel Calderon 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 AddressPractice Location Address
Kristel Calderon, LCSW
124 Springfield Rd,
Linden, NJ 07036-4832

Ph: (732) 956-1080
Kristel Calderon, LCSW
9 Basin Dr Ste 190,
Kearny, NJ 07032-6521

Ph: (973) 982-6278

Reviews and Comments


Counselor in Kearny, NJ

Ms. Kimberly Dora Lipari, LAC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 379 Kearny Ave, Kearny, NJ 07032
Phone: 862-203-8692    
Georgianna Gnecco,
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Medicare: Not Enrolled in Medicare
Practice Location: 78 John Miller Way Ste 300, Kearny, NJ 07032
Phone: 855-500-3848    
Mariola K Kufel, LPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 78 John Miller Way Ste 307, Kearny, NJ 07032
Phone: 201-456-4017    
Shantah Easley, LCSW
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 78 John Miller Way, Kearny, NJ 07032
Phone: 855-500-3848    
Roxanna Prieto, PH.D
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 379 Kearny Ave, Kearny, NJ 07032
Phone: 201-246-8077    
Jennifer D Derisse, LCADC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 206 Bergen Ave, Kearny, NJ 07032
Phone: 732-210-0509    
Tamer Mosaad,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 78 John Miller Way Ste 307, Kearny, NJ 07032
Phone: 551-202-4099    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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