Mrs Connie Mae Putthoff, LSCSW in Lees Summit, MO - Medicare Social Worker Provider

Mrs Connie Mae Putthoff, LSCSW is a medicare enrolled "Social Worker - Clinical" provider in Lees Summit, Missouri. Her current practice location is 901 Ne Independence Ave, Lees Summit, Missouri. You can reach out to her office (for appointments etc.) via phone at (816) 347-3017.

Mrs Connie Mae Putthoff is licensed to practice in Missouri (license number 2004025819) 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 1053464297.

Contact Information

	Mrs Connie Mae Putthoff, LSCSW
	901 Ne Independence Ave, Lees Summit, MO 64086-5544
	(816) 347-3017
	(816) 246-8207

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Connie Mae Putthoff
Gender	Female
Speciality	Social Worker - Clinical
Location	901 Ne Independence Ave, Lees Summit, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053464297
Provider Enumeration Date: 01/19/2007
Last Update Date: 04/26/2016

Medicare PECOS Information:

PECOS PAC ID: 7113996331
Enrollment ID: I20220307000421

Medical Identifiers

Medical identifiers for Mrs Connie Mae Putthoff such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053464297	NPI	-	NPPES
100098080A	Medicaid	KS
100098080C	Other	KS	SED WAIVER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	2479 (Kansas)	Secondary
1041C0700X	Social Worker - Clinical	2004025819 (Missouri)	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. Mrs Connie Mae Putthoff allows following entities to bill medicare on her behalf.

Entity Name	Wyandot Center For Community Behavioral Healthcare, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629159389 PECOS PAC ID: 5496745325 Enrollment ID: O20051109000434

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 Connie Mae Putthoff 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
Mrs Connie Mae Putthoff, LSCSW 901 Ne Independence Ave, Lees Summit, MO 64086-5544 Ph: (816) 347-3017	Mrs Connie Mae Putthoff, LSCSW 901 Ne Independence Ave, Lees Summit, MO 64086-5544 Ph: (816) 347-3017

Reviews and Comments

Social Worker in Lees Summit, MO

Christina Shaw Hyde, LMSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1260 Ne Windsor Dr, Lees Summit, MO 64086 Phone: 816-347-8777
Mr. Robert Grey Endres, DSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1508 Sw White Ridge Dr, Lees Summit, MO 64081 Phone: 816-836-2920 Fax: 816-836-2923
Ms. Amanda Anne Cornell, MSW, LCSW, LSCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1555 Ne Rice Rd, Lees Summit, MO 64086 Phone: 816-966-0900 Fax: 816-347-3200
Ms. Stacy Mays, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 211 Se Grand Ave, Suite B, Lees Summit, MO 64063 Phone: 816-581-3737
Camille A Davis, LCSW, LSCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 9 Se 3rd St Ste 206, Lees Summit, MO 64063 Phone: 316-807-1365
Amber L Buse, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1535 Ne Rice Rd, Lees Summit, MO 64086 Phone: 816-966-0900 Fax: 816-347-3200

Mrs Connie Mae Putthoff, LSCSW - Medicare Clinical Social Worker in Lees Summit, MO