Kane Carlock, LMHCA - Medicare Psychologist in Georgetown, OH

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Kane Carlock, LMHCA is a medicare enrolled "Psychologist" provider in Georgetown, Ohio. He graduated from medical school in 2024 and has 2 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Healthsource Of Ohio Inc and his current practice location is 631 E State St, Georgetown, Ohio. You can reach out to his office (for appointments etc.) via phone at (937) 378-6387.

Kane Carlock is licensed to practice in Ohio (license number P.08784) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1558062430.

Contact Information

Kane Carlock, LMHCA
631 E State St,
Georgetown, OH 45121-1437
(937) 378-6387
(937) 378-4253

Map and Direction




Healthcare Provider's Profile

Full NameKane Carlock
GenderMale
SpecialityClinical Psychologist
Experience2 Years
Location631 E State St, Georgetown, Ohio
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kane Carlock graduated from medical school in 2024
  NPI Data:
  • NPI Number: 1558062430
  • Provider Enumeration Date: 03/16/2023
  • Last Update Date: 08/31/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 4082197520
  • Enrollment ID: I20260312000922

Medical Identifiers

Medical identifiers for Kane Carlock such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558062430NPI-NPPES
0125363MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist P.08784 (Ohio)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Healthsource Of Ohio Inc226432874956

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. Kane Carlock allows following entities to bill medicare on his behalf.
Entity NameHealthsource of Ohio, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275966863
PECOS PAC ID: 2264328749
Enrollment ID: O20140521002611

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. Kane Carlock 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
Kane Carlock, LMHCA
424 Wards Corner Rd Ste 200,
Loveland, OH 45140-6966

Ph: (513) 576-7700		Kane Carlock, LMHCA
631 E State St,
Georgetown, OH 45121-1437

Ph: (937) 378-6387

Reviews and Comments


Psychologist in Georgetown, OH

Mrs. Jennifer A Shaw, M.A. PSYSP.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 9231 Hamer Road, Brown County Educational Service Center, Georgetown, OH 45121
Phone: 937-378-6118    Fax: 937-378-4826
Elizabeth Drake,
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 9231b Hamer Rd, Georgetown, OH 45121
Phone: 937-378-6118    
Melissa O'connor,
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 935 Mount Orab Pike, Georgetown, OH 45121
Phone: 937-378-6235    
Lola Royalty,
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 9231 Hamer Rd, Georgetown, OH 45121
Phone: 937-378-6118    
Mrs. Tracy Spires, ED.S, NCSP
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 325 W State St, Georgetown, OH 45121
Phone: 937-378-6118    

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).

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