Pauletta Bates, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Russell, Kentucky. She graduated from medical school in 2021 and has 5 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Mandala Therapeutic Services and her current practice location is
314 Ferry St, Russell, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(606) 388-2898.
Pauletta Bates is licensed to practice in Kentucky (license number 256012) 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 1235807108.
Healthcare Provider's Profile
| Full Name | Pauletta Bates |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 5 Years |
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| Location | 314 Ferry St, Russell, Kentucky |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Pauletta Bates graduated from medical school in 2021
NPI Data:
- NPI Number: 1235807108
- Provider Enumeration Date: 09/03/2021
- Last Update Date: 03/20/2024
Medicare PECOS Information:
- PECOS PAC ID: 1759821622
- Enrollment ID: I20240905003637
Medical Identifiers
Medical identifiers for Pauletta Bates such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1235807108 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1041C0700X | Social Worker - Clinical | 256012 (Kentucky) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Mandala Therapeutic Services | 3173965241 | 4 |
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. Pauletta Bates allows following entities to bill medicare on her behalf.
| Entity Name | Mandala Therapeutic Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1053878413
PECOS PAC ID: 3173965241
Enrollment ID: O20240522000415 |
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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. Pauletta Bates 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 |
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Pauletta Bates, LCSW
314 Ferry St,
Russell, KY 41169-1371
Ph: (606) 388-2898 | Pauletta Bates, LCSW
314 Ferry St,
Russell, KY 41169-1371
Ph: (606) 388-2898 |
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