Mary Carol Kennedy I, MSW, LCSW, CCS, LADC is a medicare enrolled "Social Worker - Clinical" provider in Saco, Maine. Her current practice location is
23 Water St, Suite 7, Saco, Maine. You can reach out to her office (for appointments etc.) via phone at
(207) 284-1173.
Mary Carol Kennedy I is licensed to practice in Maine (license number LC4943) 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 1720264336.
Healthcare Provider's Profile
| Full Name | Mary Carol Kennedy I |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 23 Water St, Saco, Maine |
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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: 1720264336
- Provider Enumeration Date: 01/14/2008
- Last Update Date: 05/22/2008
Medicare PECOS Information:
- PECOS PAC ID: 3971551029
- Enrollment ID: I20050105001059
Medical Identifiers
Medical identifiers for Mary Carol Kennedy I such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720264336 | NPI | - | NPPES |
| 200938 | Other | ME | ANTHEM |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LC3972 (Maine) | Secondary |
| 1041C0700X | Social Worker - Clinical | LC4943 (Maine) | 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. Mary Carol Kennedy I allows following entities to bill medicare on her behalf.
| Entity Name | Sweetser |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1538122445
PECOS PAC ID: 8325946213
Enrollment ID: O20031230000339 |
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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. Mary Carol Kennedy I 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 |
|---|
Mary Carol Kennedy I, MSW, LCSW, CCS, LADC
4 Scammon St, Suite 19-181,
Saco, ME 04072-5121
Ph: (207) 284-1173 | Mary Carol Kennedy I, MSW, LCSW, CCS, LADC
23 Water St, Suite 7,
Saco, ME 04072-5119
Ph: (207) 284-1173 |
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