Kathleen Rose Mack, LCSW in Glendale, WI - Medicare Social Worker Provider

Kathleen Rose Mack, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Glendale, Wisconsin. Her current practice location is 5555 N Port Washington Rd Ste 200, Glendale, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 789-1191.

Kathleen Rose Mack is licensed to practice in Wisconsin (license number 9613-123) 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 1619560992.

Contact Information

	Kathleen Rose Mack, LCSW
	5555 N Port Washington Rd Ste 200, Glendale, WI 53217-4927
	(262) 789-1191
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kathleen Rose Mack
Gender	Female
Speciality	Social Worker - Clinical
Location	5555 N Port Washington Rd Ste 200, Glendale, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619560992
Provider Enumeration Date: 02/17/2021
Last Update Date: 02/17/2021

Medicare PECOS Information:

PECOS PAC ID: 9436566718
Enrollment ID: I20210405000091

Medical Identifiers

Medical identifiers for Kathleen Rose Mack such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619560992	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	9613-123 (Wisconsin)	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 Rose Mack allows following entities to bill medicare on her behalf.

Entity Name	Cornerstone Counseling Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033127246 PECOS PAC ID: 1456256023 Enrollment ID: O20031205000446

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 Rose Mack 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
Kathleen Rose Mack, LCSW 2459 N 83rd St, Wauwatosa, WI 53213-1024 Ph: (414) 507-4730	Kathleen Rose Mack, LCSW 5555 N Port Washington Rd Ste 200, Glendale, WI 53217-4927 Ph: (262) 789-1191

Reviews and Comments

Social Worker in Glendale, WI

Sarah P Lafollette, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1720 W Florist Ave Ste 125, Glendale, WI 53209 Phone: 414-247-0801 Fax: 414-247-0816
Mr. Alex Hartwell, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5225 N Ironwood Rd, Ste 118, Glendale, WI 53217 Phone: 414-308-1091 Fax: 414-308-1092
Mr. Robert Joseph Jarvis, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6791 N Green Bay Ave, Glendale, WI 53209 Phone: 414-228-4800
Candace Wendlick, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6791 N Green Bay Ave, Glendale, WI 53209 Phone: 414-228-4800 Fax: 414-247-0894
Ms. Karen Marie Steinbach, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5235 N Ironwood Rd, Glendale, WI 53217 Phone: 414-902-1564
Verlynuette Lewis, SOCIAL WORKER Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1720 W Florist Ave, Sebastian Family Psychology Practice, Glendale, WI 53209 Phone: 414-247-0801 Fax: 414-247-0816
Katherine A Koenig, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5225 N Ironwood Rd, Suite 102, Glendale, WI 53217 Phone: 414-962-9156 Fax: 414-962-4356

Kathleen Rose Mack, LCSW - Medicare Clinical Social Worker in Glendale, WI