Carissa Colley, is a medicare enrolled "Social Worker - Clinical" provider in Prestonsburg, Kentucky. Her current practice location is
104 S Front Ave, Prestonsburg, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(606) 886-8572.
Carissa Colley is licensed to practice in Kentucky (license number 260232) 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 1760068142.
Healthcare Provider's Profile
| Full Name | Carissa Colley |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 104 S Front Ave, Prestonsburg, Kentucky |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1760068142
- Provider Enumeration Date: 03/24/2021
- Last Update Date: 05/02/2025
Medicare PECOS Information:
- PECOS PAC ID: 5890212724
- Enrollment ID: I20250505002477
Medical Identifiers
Medical identifiers for Carissa Colley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1760068142 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 260232 (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. Carissa Colley allows following entities to bill medicare on her behalf.
| Entity Name | Spero Health Of Kentucky, Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1982102109
PECOS PAC ID: 1052792041
Enrollment ID: O20220721003823 |
|---|
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. Carissa Colley 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 |
|---|
Carissa Colley,
106 Belinda Blvd,
Danville, KY 40422-3217
Ph: (859) 439-0340 | Carissa Colley,
104 S Front Ave,
Prestonsburg, KY 41653-1614
Ph: (606) 886-8572 |
Reviews and Comments