Kathryn Amanda Lidgard, LSWAIC in Seattle, WA - Medicare Social Worker Provider

Kathryn Amanda Lidgard, LSWAIC is a medicare enrolled "Social Worker - Clinical" provider in Seattle, Washington. Her current practice location is 2100 24th Ave S Ste 260, Seattle, Washington. You can reach out to her office (for appointments etc.) via phone at (206) 715-6051.

Kathryn Amanda Lidgard is licensed to practice in Washington (license number SC60970292) 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 1003326646.

Contact Information

	Kathryn Amanda Lidgard, LSWAIC
	2100 24th Ave S Ste 260, Seattle, WA 98144-4644
	(206) 715-6051
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kathryn Amanda Lidgard
Gender	Female
Speciality	Social Worker - Clinical
Location	2100 24th Ave S Ste 260, Seattle, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003326646
Provider Enumeration Date: 10/10/2017
Last Update Date: 08/05/2019

Medicare PECOS Information:

PECOS PAC ID: 0042683955
Enrollment ID: I20230223001878

Medical Identifiers

Medical identifiers for Kathryn Amanda Lidgard such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003326646	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	SC60970292 (Washington)	Primary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary

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. Kathryn Amanda Lidgard allows following entities to bill medicare on her behalf.

Entity Name	Providence Health & Services-washington
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124270715 PECOS PAC ID: 8325100480 Enrollment ID: O20081224000111

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. Kathryn Amanda Lidgard 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
Kathryn Amanda Lidgard, LSWAIC 2100 24th Ave S Ste 260, Seattle, WA 98144-4644 Ph: (206) 715-6051	Kathryn Amanda Lidgard, LSWAIC 2100 24th Ave S Ste 260, Seattle, WA 98144-4644 Ph: (206) 715-6051

Reviews and Comments

Social Worker in Seattle, WA

Jacqueline M. Kim, LICSW, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 325 9th Ave, Box 359760, Seattle, WA 98104 Phone: 206-744-8511 Fax: 206-744-2032
Ms. Molly Grogan, LSWAIC CDPT MHP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2600 Sw Holden St, Seattle, WA 98126 Phone: 206-933-7000
Arianna Daniels, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4219 Sw Juneau St, Seattle, WA 98136 Phone: 301-356-1580
Paige Hustead Law, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9800 4th Ave Ne, Seattle, WA 98115 Phone: 206-302-1200
Tam T Bui, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1730 Minor Ave Ste 400, Seattle, WA 98101 Phone: 844-552-2734
Mr. Michael H. Shaw, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1660 S Columbian Way, Seattle, WA 98108 Phone: 206-277-1176 Fax: 206-768-5227

Kathryn Amanda Lidgard, LSWAIC - Medicare Clinical Social Worker in Seattle, WA