Stacey Kay Mock, - Medicare Clinical Social Worker in Russellville, KY

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Stacey Kay Mock, is a medicare enrolled "Social Worker - Clinical" provider in Russellville, Kentucky. Her current practice location is 433 Shelton Ln, Russellville, Kentucky. You can reach out to her office (for appointments etc.) via phone at (270) 901-5000.

Stacey Kay Mock is licensed to practice in Kentucky (license number 260182) 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 1154901361.

Contact Information

Stacey Kay Mock,
433 Shelton Ln,
Russellville, KY 42276-7600
(270) 901-5000
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameStacey Kay Mock
GenderFemale
SpecialitySocial Worker - Clinical
Location433 Shelton Ln, Russellville, Kentucky
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1154901361
  • Provider Enumeration Date: 04/12/2021
  • Last Update Date: 03/24/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 9638692494
  • Enrollment ID: I20250402001328

Medical Identifiers

Medical identifiers for Stacey Kay Mock such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154901361NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 260182 (Kentucky)Primary
104100000XSocial Worker (* (Not Available))Secondary

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. Stacey Kay Mock allows following entities to bill medicare on her behalf.
Entity NameLifeskills, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669401816
PECOS PAC ID: 8820902638
Enrollment ID: O20031117000330

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. Stacey Kay Mock 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
Stacey Kay Mock,
380 Suwannee Trail St,
Bowling Green, KY 42103-7956

Ph: (270) 901-5000		Stacey Kay Mock,
433 Shelton Ln,
Russellville, KY 42276-7600

Ph: (270) 901-5000

Reviews and Comments


Social Worker in Russellville, KY

Mr. James K Slaton, LCSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 1497 Nashville St, Russellville, KY 42276
Phone: 270-726-9568    Fax: 270-726-9570
Melinda Gill, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1006 Honeysuckle Ln, Russellville, KY 42276
Phone: 270-571-0049    

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.