Kathleen Amanda Waleryszak, LICSW - Medicare Clinical Social Worker in Portsmouth, NH

Kathleen Amanda Waleryszak, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Portsmouth, New Hampshire. She graduated from medical school in 2016 and has 8 years of diverse experience with area of expertise as Clinical Social Worker. Her current practice location is 426 State St, Portsmouth, New Hampshire. You can reach out to her office (for appointments etc.) via phone at (707) 654-4325.

Kathleen Amanda Waleryszak is licensed to practice in New Hampshire (license number 2261) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1821647470.

Contact Information

Kathleen Amanda Waleryszak, LICSW
426 State St,
Portsmouth, NH 03801-4049
(707) 654-4325
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameKathleen Amanda Waleryszak
GenderFemale
SpecialityClinical Social Worker
Experience8 Years
Location426 State St, Portsmouth, New Hampshire
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kathleen Amanda Waleryszak graduated from medical school in 2016
  NPI Data:
  • NPI Number: 1821647470
  • Provider Enumeration Date: 09/06/2019
  • Last Update Date: 09/06/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 1052714763
  • Enrollment ID: I20210719002181

Medical Identifiers

Medical identifiers for Kathleen Amanda Waleryszak such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1821647470NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 2261 (New Hampshire)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. Kathleen Amanda Waleryszak allows following entities to bill medicare on her behalf.
Entity NameCore Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336330588
PECOS PAC ID: 2769563253
Enrollment ID: O20080123000205
Entity NameAmber Moon Wellness, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689329112
PECOS PAC ID: 8820482482
Enrollment ID: O20220224000253

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. Kathleen Amanda Waleryszak 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 AddressPractice Location Address
Kathleen Amanda Waleryszak, LICSW
8 Ridgewood Dr # A,
Kittery, ME 03904-1046

Ph: (207) 337-0456
Kathleen Amanda Waleryszak, LICSW
426 State St,
Portsmouth, NH 03801-4049

Ph: (707) 654-4325

Reviews and Comments


Social Worker in Portsmouth, NH

Mr. Philip Gibson,
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 1145 Sagamore Ave, Portsmouth, NH 03801
Phone: 603-431-6703    Fax: 603-430-3753
Debra Gilligan, LCMHC
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 222 Court St, Portsmouth, NH 03801
Phone: 603-487-2246    Fax: 603-964-7152
Victor Stephen Piro, LICSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 20 Ladd St Ste 404, Portsmouth, NH 03801
Phone: 603-427-1177    Fax: 603-427-6555
Ms. Maria Bick,
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 1145 Sagamore Ave, Portsmouth, NH 03801
Phone: 603-431-6703    
Krista Vincent, LICSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 8 Greenleaf Woods Dr, Portsmouth, NH 03801
Phone: 603-422-8208    Fax: 603-422-8218
Marieke Charlotte Kat, LICSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 539 Islington St, Portsmouth, NH 03801
Phone: 603-427-6565    Fax: 603-427-6555
Sarah B. Titus-smith, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1145 Sagamore Ave, Portsmouth, NH 03801
Phone: 603-431-6703    Fax: 603-430-3753

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.