Miss Trilby Blythe Tuesday Kerrigan, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Ukiah, California. Her current practice location is
Po Box 465, Ukiah, California. You can reach out to her office (for appointments etc.) via phone at
(707) 380-4351.
Miss Trilby Blythe Tuesday Kerrigan is licensed to practice in California (license number 104756) 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 1073011524.
Healthcare Provider's Profile
Full Name | Miss Trilby Blythe Tuesday Kerrigan |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | Po Box 465, Ukiah, California |
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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: 1073011524
- Provider Enumeration Date: 01/30/2018
- Last Update Date: 11/01/2024
Medicare PECOS Information:
- PECOS PAC ID: 4082007620
- Enrollment ID: I20220425001962
Medical Identifiers
Medical identifiers for Miss Trilby Blythe Tuesday Kerrigan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073011524 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 78187 (California) | Secondary |
1041C0700X | Social Worker - Clinical | 104756 (California) | 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. Miss Trilby Blythe Tuesday Kerrigan allows following entities to bill medicare on her behalf.
Entity Name | Consolidated Tribal Health Project, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1003826009 PECOS PAC ID: 1456260736 Enrollment ID: O20050714000893 |
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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. Miss Trilby Blythe Tuesday Kerrigan 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 |
Miss Trilby Blythe Tuesday Kerrigan, LCSW Po Box 465, Ukiah, CA 95482-0465 Ph: (707) 380-4351 | Miss Trilby Blythe Tuesday Kerrigan, LCSW Po Box 465, Ukiah, CA 95482-0465 Ph: (707) 380-4351 |
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