Mrs Kristy L Seagren, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Charlotte, North Carolina. She graduated from healthcare school in 2003 and has 21 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Counseling Associates At The Lake Inc and her current practice location is
1900 Randolph Rd, Suite 800, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(704) 384-1246.
Mrs Kristy L Seagren is licensed to practice in North Carolina (license number C005343) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1699884635.
Healthcare Provider's Profile
| Full Name | Mrs Kristy L Seagren |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 21 Years |
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| Location | 1900 Randolph Rd, Charlotte, North Carolina |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mrs Kristy L Seagren graduated from medical school in 2003
NPI Data:
- NPI Number: 1699884635
- Provider Enumeration Date: 08/30/2006
- Last Update Date: 10/08/2014
Medicare PECOS Information:
- PECOS PAC ID: 7618972944
- Enrollment ID: I20090915000804
Medical Identifiers
Medical identifiers for Mrs Kristy L Seagren such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1699884635 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | 5399 (Oregon) | Secondary |
| 1041C0700X | Social Worker - Clinical | 113381 (Massachusetts) | Secondary |
| 1041C0700X | Social Worker - Clinical | C005343 (North Carolina) | Primary |
| 1041C0700X | Social Worker - Clinical | 5399 (Oregon) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Counseling Associates At The Lake Inc | 4284953530 | 3 |
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. Mrs Kristy L Seagren allows following entities to bill medicare on her behalf.
| Entity Name | Serendipity Therapy, Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1538493770
PECOS PAC ID: 8022133164
Enrollment ID: O20100914000292 |
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| Entity Name | Counseling Associates At The Lake Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1023416146
PECOS PAC ID: 4284953530
Enrollment ID: O20150507001767 |
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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. Mrs Kristy L Seagren 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 |
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Mrs Kristy L Seagren, LCSW
Po Box 60447,
Charlotte, NC 28260-0447
Ph: (704) 384-1246 | Mrs Kristy L Seagren, LCSW
1900 Randolph Rd, Suite 800,
Charlotte, NC 28207-1110
Ph: (704) 384-1246 |
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