Danielle Dessa Matlock, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Corbin, Kentucky. She graduated from healthcare school in 2015 and has 11 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Isaiah House Inc and her current practice location is
1203 American Greeting Card Rd, Corbin, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(606) 528-7010.
Danielle Dessa Matlock is licensed to practice in Kentucky (license number 253257) 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 1104233709.
Healthcare Provider's Profile
| Full Name | Danielle Dessa Matlock |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 11 Years |
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| Location | 1203 American Greeting Card Rd, Corbin, 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:
- Danielle Dessa Matlock graduated from medical school in 2015
NPI Data:
- NPI Number: 1104233709
- Provider Enumeration Date: 07/15/2014
- Last Update Date: 05/03/2018
Medicare PECOS Information:
- PECOS PAC ID: 9032473228
- Enrollment ID: I20180516002379
Medical Identifiers
Medical identifiers for Danielle Dessa Matlock such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1104233709 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 253257 (Kentucky) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Isaiah House Inc | 7113262163 | 9 |
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. Danielle Dessa Matlock allows following entities to bill medicare on her behalf.
| Entity Name | Cumberland River Behavioral Health Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1902023526
PECOS PAC ID: 4587561790
Enrollment ID: O20031216000665 |
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| Entity Name | Isaiah House Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1396086559
PECOS PAC ID: 7113262163
Enrollment ID: O20181219000602 |
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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. Danielle Dessa Matlock 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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Danielle Dessa Matlock, LCSW
Po Box 568,
Corbin, KY 40702-0568
Ph: () - | Danielle Dessa Matlock, LCSW
1203 American Greeting Card Rd,
Corbin, KY 40701-4811
Ph: (606) 528-7010 |
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