Susan Marie Kennedy, LCSW, CASAC2, FPA is a medicare enrolled "Social Worker" provider in Hicksville, New York. Her current practice location is
950 S Oyster Bay Rd, Hicksville, New York. You can reach out to her office (for appointments etc.) via phone at
(631) 822-6111.
Susan Marie Kennedy is licensed to practice in New York (license number 048762) 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 1093290306.
Healthcare Provider's Profile
| Full Name | Susan Marie Kennedy |
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| Gender | Female |
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| Speciality | Social Worker |
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| Location | 950 S Oyster Bay Rd, Hicksville, New York |
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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: 1093290306
- Provider Enumeration Date: 10/02/2018
- Last Update Date: 03/09/2023
Medicare PECOS Information:
- PECOS PAC ID: 2567836513
- Enrollment ID: I20230315000693
Medical Identifiers
Medical identifiers for Susan Marie Kennedy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1093290306 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 10816 (New York) | Secondary |
| 1041C0700X | Social Worker - Clinical | 094851 (New York) | Secondary |
| 175T00000X | Peer Specialist | (New York) | Secondary |
| 104100000X | Social Worker | 048762 (New York) | 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. Susan Marie Kennedy allows following entities to bill medicare on her behalf.
| Entity Name | Central Nassau Guidance & Counseling Services, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1114928462
PECOS PAC ID: 6406747401
Enrollment ID: O20040322000050 |
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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. Susan Marie Kennedy 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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Susan Marie Kennedy, LCSW, CASAC2, FPA
950 S Oyster Bay Rd,
Hicksville, NY 11801-3511
Ph: (516) 396-2832 | Susan Marie Kennedy, LCSW, CASAC2, FPA
950 S Oyster Bay Rd,
Hicksville, NY 11801-3511
Ph: (631) 822-6111 |
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