Kecia Lee Mccullough, CASAC MASTERS, LMSW is a medicare enrolled "Social Worker - Clinical" provider in Orchard Park, New York. Her current practice location is
227 Thorn Ave, Orchard Park, New York. You can reach out to her office (for appointments etc.) via phone at
(716) 662-2040.
Kecia Lee Mccullough is licensed to practice in New York (license number 097126) 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 1285037606.
Healthcare Provider's Profile
| Full Name | Kecia Lee Mccullough |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 227 Thorn Ave, Orchard Park, New York |
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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: 1285037606
- Provider Enumeration Date: 09/30/2014
- Last Update Date: 02/29/2024
Medicare PECOS Information:
- PECOS PAC ID: 4183153596
- Enrollment ID: I20250130002339
Medical Identifiers
Medical identifiers for Kecia Lee Mccullough such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1285037606 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 28786 (New York) | Secondary |
| 1041C0700X | Social Worker - Clinical | 097126 (New York) | 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. Kecia Lee Mccullough allows following entities to bill medicare on her behalf.
| Entity Name | Kecia L Mccullough Lcsw Psychotherapy Services Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1497579874
PECOS PAC ID: 3678002078
Enrollment ID: O20250130001477 |
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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. Kecia Lee Mccullough 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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Kecia Lee Mccullough, CASAC MASTERS, LMSW
45 Gilmore St,
Rochester, NY 14605-1309
Ph: (585) 233-9794 | Kecia Lee Mccullough, CASAC MASTERS, LMSW
227 Thorn Ave,
Orchard Park, NY 14127-2600
Ph: (716) 662-2040 |
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