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

Stacey Kay Mock, is a medicare enrolled "Social Worker - Clinical" provider in Russellville, Kentucky. She graduated from medical school in 2022 and has 4 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Lifeskills, Inc and 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 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 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 Name	Stacey Kay Mock
Gender	Female
Speciality	Clinical Social Worker
Experience	4 Years
Location	433 Shelton Ln, Russellville, Kentucky
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Stacey Kay Mock graduated from medical school in 2022

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.

Identifier	Type	State	Issuer
1154901361	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	260182 (Kentucky)	Primary
104100000X	Social Worker	(* (Not Available))	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lifeskills, Inc	8820902638	46

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 Name	Lifeskills, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI 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 Address	Practice 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: Accepting Medicare Assignments Practice Location: 1497 Nashville St, Russellville, KY 42276 Phone: 270-726-9568 Fax: 270-726-9570
Ms. Abby N Dill, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 252 N Main St, Russellville, KY 42276 Phone: 270-904-1072
Melinda Gill, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1006 Honeysuckle Ln, Russellville, KY 42276 Phone: 270-571-0049

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