JULIE KRAMER LCSW
NPI 1306282058
Social Worker - Clinical in Amherst, NY
NPI Status: Active since May 21, 2013
Contact Information
315 ALBERTA DR
SUITE 211
AMHERST, NY
ZIP 14226
Phone: (716) 837-6705
Fax: (716) 837-6759
- Individual
- Female
- Years of Experience 26
- Social Worker
- Clinical
- Accepts Medicare Approved Payment
About JULIE KRAMER
This page provides the complete NPI Profile along with additional information for Julie Kramer, a provider established in Amherst, New York with a medical specialization in Social Worker, focusing in clinical and more than 26 years of experience. The healthcare provider is registered in the NPI registry with number 1306282058 assigned on May 2013. The practitioner's primary taxonomy code is 1041C0700X with license number R072641 (NY). The provider is registered as an individual and her NPI record was last updated 12 years ago.
- NPI
- 1306282058
- Provider Name
- JULIE KRAMER LCSW
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 315 ALBERTA DR SUITE 211 AMHERST, NY 14226
- Location Phone
- (716) 837-6705
- Location Fax
- (716) 837-6759
- Mailing Address
- 315 ALBERTA DR SUITE 211 AMHERST, NY 14226
- Mailing Phone
- (716) 837-6705
- Mailing Fax
- (716) 837-6759
- Medical School Name
- OTHER
- Graduation Year
- 2000
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 05-21-2013
- Last Update Date
- 05-21-2013
- Code Navigator
A clinical social worker like Julie Kramer is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Social Worker Clinical
- Taxonomy Code
- 1041C0700X
- Type
- Behavioral Health & Social Service Providers
- License No.
- R072641
- License State
- NY
- Taxonomy Description
- A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Medicare Participation & PECOS Enrollment Status
Julie Kramer is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
PECOS PAC ID: 6800131558
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20181227001090
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Physician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $0 for a new patient copayment and $17.14 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 14226 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is NA
- Average New Patient Price $0
- Minimum New Patient Price $54.87
- Maximum New Patient Price $166.88
- Average New Patient Copayment $0
- Minimum New Patient Copayment $13.71
- Maximum New Patient Copayment $41.72
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $68.57
- Minimum Established Patient Price $17.54
- Maximum Established Patient Price $136.14
- Average Established Patient Copayment $17.14
- Minimum Established Patient Copayment $4.38
- Maximum Established Patient Copayment $34.03
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 0 | 6 | 2 | 8 | 2 | 0 | 5 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 0 | 6 | 4 | 8 | 4 | 0 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 0 + 6 + 4 + 8 + 4 + 0 + 1 + 0 + 24 = 52 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 52 = 8 | 8 | ||||||||
The NPI number 1306282058 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 10 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1902923923 | DR. EDWARD NIEMIEC M.D. Individual | Otolaryngology | 315 ALBERTA DR AMHERST, NY 14226 (716) 833-5100 |
| 1598741530 | AMHERST AUDIOLOGICAL SERVICES Organization | Audiologist-Hearing Aid Fitter | 315 ALBERTA DR SUITE 105 AMHERST, NY 14226 (716) 838-5360 |
| 1821400938 | LINDA B NASH PSYCHOLOGIST, PC Organization | Psychologist | 315 ALBERTA DR SUITE 211 AMHERST, NY 14226 (716) 837-6705 |
| 1073917720 | REGINALD ROBERTS PH.D. Individual | Psychologist | 315 ALBERTA DR SUITE 211 AMHERST, NY 14226 (716) 837-6705 |
| 1124425103 | SHARON HARLING MA, BCBA, Individual | Behavior Analyst | 315 ALBERTA DR SUITE 211 AMHERST, NY 14226 (716) 837-6705 |
| 1528052933 | MS. CHRISTINE GRAF AU.D. Individual | Audiologist | 315 ALBERTA DR SUITE 105 AMHERST, NY 14226 (716) 838-5360 |
| 1316303878 | WESTERN NEW YORK PSYCHOLOGICAL SERVICES Organization | Psychologist (Clinical) | 315 ALBERTA DR SUITE 211 AMHERST, NY 14226 (716) 837-6705 |
| 1750463097 | MS. MACKENZIE ANNE HALKER LCSW-R Individual | Social Worker (Clinical) | 315 ALBERTA DR AMHERST, NY 14226 (716) 837-6705 |
| 1659605830 | DR. SARAH M CLEMMER AU.D. Individual | Audiologist | 315 ALBERTA DR AMHERST, NY 14226 (716) 838-5360 |
| 1538994421 | HOPE AND HEALING WELLNESS SERVICES Organization | Counselor (Mental Health) | 315 ALBERTA DR AMHERST, NY 14226 (716) 222-0924 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1306282058, enumerated in the NPI registry as an "individual" on May 21, 2013
The provider is located at 315 Alberta Dr Suite 211 Amherst, Ny 14226 and the phone number is (716) 837-6705
The provider's speciality is Social Worker with taxonomy code 1041C0700X with a focus in Clinical
The provider has more than 26 years of experience.
Medicare beneficiaries should expect a typical cost of $0 with an average copayment of $0 for new patient appointments. Established patients should expect a typical charge of $68.57 and an average copayment of 17.14. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on May 21, 2013. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.