Lydia Kerns, LCSW, LCAS-A is a medicare enrolled "Social Worker - Clinical" provider in Jacksonville, North Carolina. Her current practice location is
3886 Henderson Dr, Jacksonville, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(910) 938-9833.
Lydia Kerns is licensed to practice in North Carolina (license number C017054) 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 1972269561.
Healthcare Provider's Profile
Full Name | Lydia Kerns |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 3886 Henderson Dr, Jacksonville, North Carolina |
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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: 1972269561
- Provider Enumeration Date: 11/09/2021
- Last Update Date: 08/04/2024
Medicare PECOS Information:
- PECOS PAC ID: 2860832342
- Enrollment ID: I20240501001196
Medical Identifiers
Medical identifiers for Lydia Kerns such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1972269561 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | LCAS-27615 (North Carolina) | Secondary |
1041C0700X | Social Worker - Clinical | C017054 (North Carolina) | 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. Lydia Kerns allows following entities to bill medicare on her behalf.
Entity Name | Pride In North Carolina Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1760420186 PECOS PAC ID: 9638105869 Enrollment ID: O20050711000558 |
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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. Lydia Kerns 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 |
Lydia Kerns, LCSW, LCAS-A 2440 Commerce Rd Ste 225, Jacksonville, NC 28546-7563 Ph: (330) 998-0158 | Lydia Kerns, LCSW, LCAS-A 3886 Henderson Dr, Jacksonville, NC 28546-5219 Ph: (910) 938-9833 |
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