Ms Kelley M Rambo, LSCSW, LPC, LCAC is a medicare enrolled "Social Worker - Clinical" provider in New London, New Hampshire. Her current practice location is
35 Newport Rd, New London, New Hampshire. You can reach out to her office (for appointments etc.) via phone at
(603) 865-1321.
Ms Kelley M Rambo is licensed to practice in Kansas (license number 06040) 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 1144493867.
Healthcare Provider's Profile
| Full Name | Ms Kelley M Rambo |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 35 Newport Rd, New London, New Hampshire |
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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: 1144493867
- Provider Enumeration Date: 04/03/2008
- Last Update Date: 03/13/2024
Medicare PECOS Information:
- PECOS PAC ID: 1355715947
- Enrollment ID: I20230322001344
Medical Identifiers
Medical identifiers for Ms Kelley M Rambo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1144493867 | NPI | - | NPPES |
| 3106593 | Medicaid | NH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | LCPC-03544 (Kansas) | Secondary |
| 101YM0800X | Counselor - Mental Health | LPC.0018571 (Colorado) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LCAC-00819 (Kansas) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | ACD.0000487 (Colorado) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1008 (New Hampshire) | Secondary |
| 1041C0700X | Social Worker - Clinical | LC23303 (Maine) | Secondary |
| 1041C0700X | Social Worker - Clinical | 2925 (New Hampshire) | Secondary |
| 1041C0700X | Social Worker - Clinical | 06040 (Kansas) | 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. Ms Kelley M Rambo allows following entities to bill medicare on her behalf.
| Entity Name | Counseling Associates Of New London Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1205055365
PECOS PAC ID: 0042369910
Enrollment ID: O20090526000101 |
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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. Ms Kelley M Rambo 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 |
|---|
Ms Kelley M Rambo, LSCSW, LPC, LCAC
Po Box 855,
Wellington, KS 67152-0855
Ph: (316) 500-3800 | Ms Kelley M Rambo, LSCSW, LPC, LCAC
35 Newport Rd,
New London, NH 03257-5413
Ph: (603) 865-1321 |
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