Mrs Lauren Marie Kowalczyk Pelton, LCSW - Medicare Clinical Social Worker in Skowhegan, ME

Mrs Lauren Marie Kowalczyk Pelton, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Skowhegan, Maine. She graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Community Health And Counseling Services and her current practice location is 78 Madison Ave, Skowhegan, Maine. You can reach out to her office (for appointments etc.) via phone at (207) 612-3019.

Mrs Lauren Marie Kowalczyk Pelton is licensed to practice in Maine (license number LC15632) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1205269180.

Contact Information

Mrs Lauren Marie Kowalczyk Pelton, LCSW
78 Madison Ave,
Skowhegan, ME 04976-1221
(207) 612-3019
(207) 858-4868

Map and Direction




Healthcare Provider's Profile

Full NameMrs Lauren Marie Kowalczyk Pelton
GenderFemale
SpecialityClinical Social Worker
Experience11 Years
Location78 Madison Ave, Skowhegan, Maine
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Lauren Marie Kowalczyk Pelton graduated from medical school in 2013
  NPI Data:
  • NPI Number: 1205269180
  • Provider Enumeration Date: 08/15/2013
  • Last Update Date: 09/15/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 4385954270
  • Enrollment ID: I20151104002789

Medical Identifiers

Medical identifiers for Mrs Lauren Marie Kowalczyk Pelton such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205269180NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical LC15632 (Maine)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Community Health And Counseling Services488065859013

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 Lauren Marie Kowalczyk Pelton allows following entities to bill medicare on her behalf.
Entity NameCommunity Health And Counseling Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457415184
PECOS PAC ID: 4880658590
Enrollment ID: O20041112000766

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 Lauren Marie Kowalczyk Pelton 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
Mrs Lauren Marie Kowalczyk Pelton, LCSW
78 Madison Ave,
Skowhegan, ME 04976-1221

Ph: (207) 612-3019
Mrs Lauren Marie Kowalczyk Pelton, LCSW
78 Madison Ave,
Skowhegan, ME 04976-1221

Ph: (207) 612-3019

Reviews and Comments


Social Worker in Skowhegan, ME

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Phone: 207-446-2347    Fax: 844-331-2315
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Practice Location: 30 High St, Skowhegan, ME 04976
Phone: 207-612-3001    
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Phone: 207-474-3244    Fax: 207-474-5244
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Practice Location: 5 Commerce Dr, Skowhegan, ME 04976
Phone: 207-474-8368    
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Practice Location: 5 Commerce Dr, Skowhegan, ME 04976
Phone: 207-660-4549    Fax: 207-660-4529
Barbara Kim Bowman, LCSW
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Medicare: Medicare Enrolled
Practice Location: 5 Commerce Dr, Skowhegan, ME 04976
Phone: 207-474-8311    Fax: 207-474-5148

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.