Angela M Hogan, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Bardstown, Kentucky. Her current practice location is
103 Allie Ct, Bardstown, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(502) 203-6951.
Angela M Hogan is licensed to practice in Kentucky (license number 252954) 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 1225702483.
Healthcare Provider's Profile
| Full Name | Angela M Hogan |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 103 Allie Ct, Bardstown, Kentucky |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1225702483
- Provider Enumeration Date: 08/02/2021
- Last Update Date: 11/20/2024
Medicare PECOS Information:
- PECOS PAC ID: 3274926076
- Enrollment ID: I20220129000355
Medical Identifiers
Medical identifiers for Angela M Hogan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1225702483 | NPI | - | NPPES |
| 7100775610 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | 262577 (Kentucky) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 252954 (Kentucky) | 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. Angela M Hogan allows following entities to bill medicare on her behalf.
| Entity Name | Commonhealth Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1902425515
PECOS PAC ID: 2163833476
Enrollment ID: O20201117002651 |
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| Entity Name | Lucas Counseling And Consulting Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1740881507
PECOS PAC ID: 6800282971
Enrollment ID: O20220330001261 |
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| Entity Name | Prodigal Ministries Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013662717
PECOS PAC ID: 2860840493
Enrollment ID: O20231121000960 |
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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. Angela M Hogan 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 |
|---|
Angela M Hogan, LCSW
103 Allie Ct,
Bardstown, KY 40004-9189
Ph: (502) 203-6951 | Angela M Hogan, LCSW
103 Allie Ct,
Bardstown, KY 40004-9189
Ph: (502) 203-6951 |
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