Pamela J Corkum, LICSW is a medicare enrolled "Counselor - Mental Health" provider in Fellsmere, Florida. Her current practice location is
12196 County Road 512, Fellsmere, Florida. You can reach out to her office (for appointments etc.) via phone at
(772) 257-8224.
Pamela J Corkum is licensed to practice in Florida (license number SW21751) 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 1134604952.
Healthcare Provider's Profile
| Full Name | Pamela J Corkum |
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| Gender | Female |
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| Speciality | Counselor - Mental Health |
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| Location | 12196 County Road 512, Fellsmere, Florida |
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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: 1134604952
- Provider Enumeration Date: 09/27/2018
- Last Update Date: 07/15/2024
Medicare PECOS Information:
- PECOS PAC ID: 4981147345
- Enrollment ID: I20240613004435
Medical Identifiers
Medical identifiers for Pamela J Corkum such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1134604952 | NPI | - | NPPES |
| SW21751 | Other | FL | LCSW |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | SW21751 (Florida) | 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. Pamela J Corkum allows following entities to bill medicare on her behalf.
| Entity Name | Grow Healthcare Group Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245845932
PECOS PAC ID: 3476961368
Enrollment ID: O20210414000053 |
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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. Pamela J Corkum 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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Pamela J Corkum, LICSW
1545 9th St Sw,
Vero Beach, FL 32962-4312
Ph: () - | Pamela J Corkum, LICSW
12196 County Road 512,
Fellsmere, FL 32948-5463
Ph: (772) 257-8224 |
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