Melissa R Sparks, LSW - Medicare Clinical Social Worker in Berea, KY

Melissa R Sparks, LSW is a medicare enrolled "Social Worker - Clinical" provider in Berea, Kentucky. Her current practice location is 104 Legacy Dr, Berea, Kentucky. You can reach out to her office (for appointments etc.) via phone at (859) 986-2323.

Melissa R Sparks is licensed to practice in Kentucky (license number 1592) 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 1720064769.

Contact Information

Melissa R Sparks, LSW
104 Legacy Dr,
Berea, KY 40403-9594
(859) 986-2323
(859) 986-7728

Map and Direction




Healthcare Provider's Profile

Full NameMelissa R Sparks
GenderFemale
SpecialitySocial Worker - Clinical
Location104 Legacy Dr, Berea, Kentucky
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1720064769
  • Provider Enumeration Date: 12/21/2005
  • Last Update Date: 11/27/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 9133261795
  • Enrollment ID: I20100120000029

Medical Identifiers

Medical identifiers for Melissa R Sparks such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720064769NPI-NPPES
82000373MedicaidKY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 1592 (Kentucky)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. Melissa R Sparks allows following entities to bill medicare on her behalf.
Entity NameHealth Help Incorporated
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770569113
PECOS PAC ID: 8224946561
Enrollment ID: O20031118000911

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. Melissa R Sparks 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
Melissa R Sparks, LSW
1010 Main St S,
Mc Kee, KY 40447-7089

Ph: (606) 287-7104
Melissa R Sparks, LSW
104 Legacy Dr,
Berea, KY 40403-9594

Ph: (859) 986-2323

Reviews and Comments


Social Worker in Berea, KY

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Phone: 859-200-7277    
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Practice Location: 277 Davis Hollow Rd, Berea, KY 40403
Phone: 859-237-0384    

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.