Mrs Cynthia Dawn Ketron, LCSW in Kingsport, TN - Medicare Social Worker Provider

Mrs Cynthia Dawn Ketron, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Kingsport, Tennessee. Her current practice location is 3218 Dutchess Dr, Kingsport, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 239-5912.

Mrs Cynthia Dawn Ketron is licensed to practice in Tennessee (license number LSW0000003148) 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 1275756983.

Contact Information

	Mrs Cynthia Dawn Ketron, LCSW
	3218 Dutchess Dr, Kingsport, TN 37663-2904
	(423) 239-5912
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Cynthia Dawn Ketron
Gender	Female
Speciality	Social Worker - Clinical
Location	3218 Dutchess Dr, Kingsport, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275756983
Provider Enumeration Date: 04/11/2007
Last Update Date: 01/21/2008

Medicare PECOS Information:

PECOS PAC ID: 8527043892
Enrollment ID: I20040621001563

Medical Identifiers

Medical identifiers for Mrs Cynthia Dawn Ketron such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275756983	NPI	-	NPPES
LSW0000003148	Other	TN	LCSW

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LSW0000003148 (Tennessee)	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. Mrs Cynthia Dawn Ketron allows following entities to bill medicare on her behalf.

Entity Name	Eric Hasemeier Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225141492 PECOS PAC ID: 4789687484 Enrollment ID: O20060818000335

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. Mrs Cynthia Dawn Ketron 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
Mrs Cynthia Dawn Ketron, LCSW 3218 Dutchess Dr, Kingsport, TN 37663-2904 Ph: (423) 239-5912	Mrs Cynthia Dawn Ketron, LCSW 3218 Dutchess Dr, Kingsport, TN 37663-2904 Ph: (423) 239-5912

Reviews and Comments

Social Worker in Kingsport, TN

Leonard Williams, LCSW, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2991 Fort Henry Dr, Kingsport, TN 37664 Phone: 423-392-2975
Matthew Andrews, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1570 Waverly Rd, Kingsport, TN 37664 Phone: 423-224-1300 Fax: 423-467-3644
Betty Jo Miller, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2300 Pavilion Dr, Kingsport, TN 37660 Phone: 423-857-5571 Fax: 423-857-5237
Cherub Seargeant, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1326 E Windsor St, Kingsport, TN 37660 Phone: 865-617-1086
Stephanie Smith Boyles, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 605 Watauga St, Kingsport, TN 37660 Phone: 844-215-0811 Fax: 888-395-1262
Clarissa Abbott, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 605 Watauga St, Kingsport, TN 37660 Phone: 844-215-0811

Mrs Cynthia Dawn Ketron, LCSW - Medicare Clinical Social Worker in Kingsport, TN