Dr Karen L Caldwell, PHD - Medicare Couples Therapy in Boone, NC

Dr Karen L Caldwell, PHD is a medicare enrolled "Marriage & Family Therapist" provider in Boone, North Carolina. Her current practice location is 719a Greeway Road, Room 214, Boone, North Carolina. You can reach out to her office (for appointments etc.) via phone at (828) 406-7057.

Dr Karen L Caldwell is licensed to practice in North Carolina (license number 537) 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 1356586226.

Contact Information

Dr Karen L Caldwell, PHD
719a Greeway Road, Room 214,
Boone, NC 28607
(828) 406-7057
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameDr Karen L Caldwell
GenderFemale
SpecialityMarriage & Family Therapist
Location719a Greeway Road, Boone, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1356586226
  • Provider Enumeration Date: 12/08/2008
  • Last Update Date: 10/16/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2466800677
  • Enrollment ID: I20231129001132

Medical Identifiers

Medical identifiers for Dr Karen L Caldwell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356586226NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
106H00000XMarriage & Family Therapist 537 (North Carolina)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. Dr Karen L Caldwell allows following entities to bill medicare on her behalf.
Entity NameBlue Heron Counseling Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265214191
PECOS PAC ID: 1557719762
Enrollment ID: O20231129001053

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. Dr Karen L Caldwell 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 AddressPractice Location Address
Dr Karen L Caldwell, PHD
161 Eastwood Bnd,
Boone, NC 28607-8148

Ph: (828) 406-7057
Dr Karen L Caldwell, PHD
719a Greeway Road, Room 214,
Boone, NC 28607

Ph: (828) 406-7057

Reviews and Comments


Marriage & Family Therapist in Boone, NC

Lauren Mary Leitner, LMFT, LCAS-A
Couples Therapy
Medicare: Not Enrolled in Medicare
Practice Location: 132 Poplar Grove Connector, Suite B, Boone, NC 28607
Phone: 828-264-8759    
Kelly Colleen Boone, MFTA
Couples Therapy
Medicare: Not Enrolled in Medicare
Practice Location: 805 State Farm Rd Ste 304, Boone, NC 28607
Phone: 561-373-0852    
Mr. Anthony Laricchiuti, LMFT
Couples Therapy
Medicare: Not Enrolled in Medicare
Practice Location: 251 Larry Winkler Rd, Boone, NC 28607
Phone: 919-666-7097    
Mrs. Joan Marjorie Zimmerman, LMFT
Couples Therapy
Medicare: Not Enrolled in Medicare
Practice Location: 132 Poplar Grove Connector, Suite B, Boone, NC 28607
Phone: 828-264-8759    Fax: 828-262-5687
Stephanie Leigh Swisher, LMFT
Couples Therapy
Medicare: Not Enrolled in Medicare
Practice Location: 938b W King St, #b, Boone, NC 28607
Phone: 828-719-5585    
Mrs. Tessa Meijer Koeval,
Couples Therapy
Medicare: Not Enrolled in Medicare
Practice Location: 805 State Farm Rd Ste 304, Boone, NC 28607
Phone: 561-373-0852    
Joseph R Gardner, LMFT
Couples Therapy
Medicare: Not Enrolled in Medicare
Practice Location: 950 State Farm Rd, Suite 200, Boone, NC 28607
Phone: 828-264-9007    Fax: 828-262-5687

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.