Kendal Kae Blackwelder Gulledge, LCSW, LCAS is a medicare enrolled "Social Worker - Clinical" provider in Denver, North Carolina. She graduated from healthcare school in 2014 and has 11 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Jw Counseling, Pllc and 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
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 1447655634.
Healthcare Provider's Profile
| Full Name | Kendal Kae Blackwelder Gulledge |
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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 | 2485 N Nc 16 Business Hwy Ste 100, Denver, North Carolina |
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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:
- Kendal Kae Blackwelder Gulledge graduated from medical school in 2014
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 |
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| 1447655634 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 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 |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Jw Counseling, Pllc | 7810336096 | 3 |
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 |
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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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