Ms Pamela Sue Kucklick, LPCC-S-SUPV in Cleveland, OH

Ms Pamela Sue Kucklick, LPCC-S-SUPV is a medicare enrolled "Counselor - Mental Health" provider in Cleveland, Ohio. Her current practice location is 4115 Bridge Ave, Cleveland, Ohio. You can reach out to her office (for appointments etc.) via phone at (216) 651-5800.

Ms Pamela Sue Kucklick is licensed to practice in Ohio (license number E.0006764-SUPV) 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 1245637446.

Contact Information

	Ms Pamela Sue Kucklick, LPCC-S-SUPV
	4115 Bridge Ave, Cleveland, OH 44113-3304
	(216) 651-5800
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Pamela Sue Kucklick
Gender	Female
Speciality	Counselor - Mental Health
Location	4115 Bridge Ave, Cleveland, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245637446
Provider Enumeration Date: 12/03/2014
Last Update Date: 03/27/2024

Medicare PECOS Information:

PECOS PAC ID: 7416391990
Enrollment ID: I20240223001064

Medical Identifiers

Medical identifiers for Ms Pamela Sue Kucklick such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245637446	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	E.0006764-SUPV (Ohio)	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. Ms Pamela Sue Kucklick allows following entities to bill medicare on her behalf.

Entity Name	Near West Side Multi Service Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184960510 PECOS PAC ID: 7911139381 Enrollment ID: O20140417000939

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. Ms Pamela Sue Kucklick 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
Ms Pamela Sue Kucklick, LPCC-S-SUPV 1433 W 38th St, Cleveland, OH 44113-2802 Ph: (216) 906-0940	Ms Pamela Sue Kucklick, LPCC-S-SUPV 4115 Bridge Ave, Cleveland, OH 44113-3304 Ph: (216) 651-5800

Reviews and Comments

Counselor in Cleveland, OH

Allyson Mccarley, LPCC-S Counselor Medicare: Medicare Enrolled Practice Location: 3000 Bridge Ave Ste 4, Cleveland, OH 44113 Phone: 216-282-3838
Glorimar Quinones, BSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 2202 Prame Ave, Cleveland, OH 44109 Phone: 216-459-1222 Fax: 216-472-3599
Jaime Anne Mariage, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10427 Detroit Ave, Cleveland, OH 44102 Phone: 216-521-6511
Brittaney Nicole Byers, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 3030 Euclid Ave Ste 312, Cleveland, OH 44115 Phone: 216-391-0977 Fax: 216-391-0978
Susan Schwenk, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3100 Euclid Ave, Cleveland, OH 44115 Phone: 216-361-4400
Jennifer Hebebrand, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3100 Euclid Ave, Cleveland, OH 44115 Phone: 216-361-4400
Maurice Martin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1127 Carnegie Ave, Cleveland, OH 44115 Phone: 216-861-4246

Ms Pamela Sue Kucklick, LPCC-S-SUPV - Medicare Counselor in Cleveland, OH