Ms Kathy Southard, LCSW in Ewa Beach, HI - Medicare Social Worker Provider

Ms Kathy Southard, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Ewa Beach, Hawaii. Her current practice location is Kahi Mohala Behavioral Health, 2301 Old Fort Weaver Rd, Ewa Beach, Hawaii. You can reach out to her office (for appointments etc.) via phone at (808) 671-8511.

Ms Kathy Southard is licensed to practice in Hawaii (license number HI-4271) 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 1316373715.

Contact Information

	Ms Kathy Southard, LCSW
	Kahi Mohala Behavioral Health, 2301 Old Fort Weaver Rd, Ewa Beach, HI 96706
	(808) 671-8511
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Kathy Southard
Gender	Female
Speciality	Social Worker - Clinical
Location	Kahi Mohala Behavioral Health, 2301 Old Fort Weaver Rd, Ewa Beach, Hawaii
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316373715
Provider Enumeration Date: 09/18/2013
Last Update Date: 08/28/2018

Medicare PECOS Information:

PECOS PAC ID: 9830409499
Enrollment ID: I20151110002924

Medical Identifiers

Medical identifiers for Ms Kathy Southard such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316373715	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	118839 (Massachusetts)	Secondary
1041C0700X	Social Worker - Clinical	HI-4271 (Hawaii)	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. Ms Kathy Southard allows following entities to bill medicare on her behalf.

Entity Name	Cambridge Public Health Commission
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487603585 PECOS PAC ID: 8921910894 Enrollment ID: O20040121000364

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. Ms Kathy Southard 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
Ms Kathy Southard, LCSW 161 Hampshire St, Apt 3r, Cambridge, MA 02139-1321 Ph: (718) 753-8503	Ms Kathy Southard, LCSW Kahi Mohala Behavioral Health, 2301 Old Fort Weaver Rd, Ewa Beach, HI 96706 Ph: (808) 671-8511

Reviews and Comments

Social Worker in Ewa Beach, HI

Kate Trachte, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 91-2301 Old Ft Weaver Rd, Ewa Beach, HI 96706 Phone: 808-671-8511 Fax: 808-677-2570
Eva Cannamela, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 91-1272 Kaileolea Dr, Ewa Beach, HI 96706 Phone: 443-994-9563
Karen C Tan, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 91-1841 Fort Weaver Rd, Ewa Beach, HI 96706 Phone: 808-681-3500 Fax: 808-681-1486
Shelly Johnson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 91-2301 Old Ft Weaver Rd, Ewa Beach, HI 96706 Phone: 808-671-8511
Samantha Maiori, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 91-2301 Old Ft Weaver Rd, Ewa Beach, HI 96706 Phone: 808-671-8511 Fax: 808-677-2570
Corinne Yuen Matsumoto, L.C.S.W. Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 91-105 Akekee Pl, Ewa Beach, HI 96706 Phone: 808-222-5231
Wanda F. Yarborough, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 91-1023 Waiinu St, Ewa Beach, HI 96706 Phone: 808-494-6781

Ms Kathy Southard, LCSW - Medicare Clinical Social Worker in Ewa Beach, HI