Karen Clark Coulam, in Centerville, UT - Medicare Social Worker Provider

Karen Clark Coulam, is a medicare enrolled "Social Worker - Clinical" provider in Centerville, Utah. Her current practice location is 94 E Pages Ln, A, Centerville, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 294-0578.

Karen Clark Coulam is licensed to practice in * (Not Available) (license number ) 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 1760763676.

Contact Information

	Karen Clark Coulam,
	94 E Pages Ln, A, Centerville, UT 84014-2216
	(801) 294-0578
	(801) 298-2147

Map and Direction

Healthcare Provider's Profile

Full Name	Karen Clark Coulam
Gender	Female
Speciality	Social Worker - Clinical
Location	94 E Pages Ln, Centerville, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760763676
Provider Enumeration Date: 09/06/2011
Last Update Date: 09/06/2011

Medicare PECOS Information:

PECOS PAC ID: 7012262900
Enrollment ID: I20180618001413

Medical Identifiers

Medical identifiers for Karen Clark Coulam such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760763676	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	(* (Not Available))	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. Karen Clark Coulam allows following entities to bill medicare on her behalf.

Entity Name	Karen Coulam Msw Lcsw Counseling Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811505357 PECOS PAC ID: 2062838816 Enrollment ID: O20200811003642

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. Karen Clark Coulam 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
Karen Clark Coulam, 460 N 1250 E, Bountiful, UT 84010-2700 Ph: (801) 294-0320	Karen Clark Coulam, 94 E Pages Ln, A, Centerville, UT 84014-2216 Ph: (801) 294-0578

Reviews and Comments

Social Worker in Centerville, UT

Aanika J Edwards, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 94 E Pages Ln Ste A, Centerville, UT 84014 Phone: 801-294-0578 Fax: 801-298-2147
Miss Courtney Ann Mcdonough, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 94 E Pages Ln Ste A, Centerville, UT 84014 Phone: 801-294-0578 Fax: 801-298-2147
Kate Emily Garrett Packer, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 94 E Pages Ln, A, Centerville, UT 84014 Phone: 801-294-0578 Fax: 801-298-2147
Madeline Claude, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 520 N Market Place Dr, Centerville, UT 84014 Phone: 801-934-3373
Ms. Julie Blundell, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1634 Lewis And Clark Dr, Centerville, UT 84014 Phone: 801-856-4166
Mrs. Karina C Penrod, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 94 E Pages Ln Ste A, Centerville, UT 84014 Phone: 801-294-0578 Fax: 801-298-2147
Mrs. Lisa Steed, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 94 E Pages Ln, Suite A, Centerville, UT 84014 Phone: 801-294-0578 Fax: 801-298-2147

Karen Clark Coulam, - Medicare Clinical Social Worker in Centerville, UT