Kendal Kae Blackwelder Gulledge, LCSW, LCAS is a medicare enrolled "Social Worker - Clinical" provider in Denver, North Carolina. Her current practice location is
2485 N Nc 16 Business Hwy Ste 100, Denver, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(704) 657-4665.
Kendal Kae Blackwelder Gulledge is licensed to practice in * (Not Available) (license number ) 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 1447655634.
Healthcare Provider's Profile
Full Name | Kendal Kae Blackwelder Gulledge |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 2485 N Nc 16 Business Hwy Ste 100, Denver, North Carolina |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1447655634
- Provider Enumeration Date: 10/30/2014
- Last Update Date: 03/05/2025
Medicare PECOS Information:
- PECOS PAC ID: 6002333143
- Enrollment ID: I20250512002319
Medical Identifiers
Medical identifiers for Kendal Kae Blackwelder Gulledge such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1447655634 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | LCAS-21179 (North Carolina) | Secondary |
1041C0700X | Social Worker - Clinical | C010491 (North Carolina) | Secondary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | 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. Kendal Kae Blackwelder Gulledge allows following entities to bill medicare on her behalf.
Entity Name | Jw Counseling, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1063279578 PECOS PAC ID: 7810336096 Enrollment ID: O20240421000051 |
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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. Kendal Kae Blackwelder Gulledge 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 |
Kendal Kae Blackwelder Gulledge, LCSW, LCAS 2634 Andrew Point Dr, Denver, NC 28037-5455 Ph: (704) 657-4665 | Kendal Kae Blackwelder Gulledge, LCSW, LCAS 2485 N Nc 16 Business Hwy Ste 100, Denver, NC 28037-8256 Ph: (704) 657-4665 |
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