Kumi Pledger, - Medicare Counselor in Lusby, MD

Kumi Pledger, is a medicare enrolled "Counselor - Mental Health" provider in Lusby, Maryland. Her current practice location is 431 Seagull Ln, Lusby, Maryland. You can reach out to her office (for appointments etc.) via phone at (443) 489-6463.

Kumi Pledger 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 1720506900.

Contact Information

Kumi Pledger,
431 Seagull Ln,
Lusby, MD 20657-4135
(443) 489-6463
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameKumi Pledger
GenderFemale
SpecialityCounselor - Mental Health
Location431 Seagull Ln, Lusby, Maryland
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1720506900
  • Provider Enumeration Date: 09/07/2017
  • Last Update Date: 03/17/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 7012456916
  • Enrollment ID: I20240822004662

Medical Identifiers

Medical identifiers for Kumi Pledger such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720506900NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health (* (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. Kumi Pledger allows following entities to bill medicare on her behalf.
Entity NameGrow Healthcare Group Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245845932
PECOS PAC ID: 3476961368
Enrollment ID: O20221213001514

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. Kumi Pledger 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
Kumi Pledger,
431 Seagull Ln,
Lusby, MD 20657-4135

Ph: () -
Kumi Pledger,
431 Seagull Ln,
Lusby, MD 20657-4135

Ph: (443) 489-6463

Reviews and Comments


Counselor in Lusby, MD

Susan Renee Scalone,
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Phone: 443-771-4811    
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Phone: 202-344-7291    
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Phone: 410-394-0681    Fax: 410-326-1860

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.