MEGAN DEBRA GARCIA LMSW
NPI 1740569342
Social Worker in Garden City, KS

NPI Status: Active since August 12, 2011

Contact Information

1111 E SPRUCE ST
GARDEN CITY, KS
ZIP 67846
Phone: (620) 276-6789
Fax: (620) 276-6117

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  • Individual
  • Female
  • Years of Experience 15
  • Social Worker
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About MEGAN GARCIA

This page provides the complete NPI Profile along with additional information for Megan Garcia, a provider established in Garden City, Kansas with a medical specialization in Social Worker and more than 15 years of experience. The healthcare provider is registered in the NPI registry with number 1740569342 assigned on August 2011. The practitioner's primary taxonomy code is 104100000X with license number 8165 (KS). The provider is registered as an individual and her NPI record was last updated 15 years ago.

NPI
1740569342
Provider Name
MEGAN DEBRA GARCIA LMSW
Gender
Female
Entity Type
Individual
Location Address
1111 E SPRUCE ST GARDEN CITY, KS 67846
Location Phone
(620) 276-6789
Location Fax
(620) 276-6117
Mailing Address
1111 E SPRUCE ST GARDEN CITY, KS 67846
Mailing Phone
(620) 276-6789
Mailing Fax
(620) 276-6117
Medical School Name
OTHER
Graduation Year
2011
Is Sole Proprietor?
No
Enumeration Date
08-12-2011
Last Update Date
08-12-2011
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A social worker like Megan Garcia helps patients solve and cope with problems in their everyday lives, diagnoses and treats mental, behavioral, and emotional problems. Social workers help in wide range of situations, such as adopting a child, illness, divorce, or unemployment.

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

Taxonomy Code
104100000X
Type
Behavioral Health & Social Service Providers
License No.
8165
License State
KS
Taxonomy Description
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BlueCare EPO Bronze - EPO
  • BlueCare EPO Gold - EPO
  • BlueCare EPO Gold Plus - EPO
  • BlueCare EPO Silver Plus - EPO
  • BlueCare EPO Simple Bronze HDHP - EPO
  • BlueCare EPO Simple Silver HDHP - EPO
  • BlueCare EPO Standardized Expanded Bronze - EPO
  • BlueCare EPO Standardized Gold - EPO
  • BlueCare EPO Standardized Silver - EPO
  • Select by Medica Bronze $0 Copay PCP Visits - EPO
  • Select by Medica Bronze Share - EPO
  • Select by Medica Expanded Bronze Standard - EPO
  • Select by Medica Gold $0 Copay PCP Visits - EPO
  • Select by Medica Gold Share - EPO
  • Select by Medica Gold Standard - EPO
  • Select by Medica Silver $0 Copay PCP Visits - EPO
  • Select by Medica Silver Share - EPO
  • Select by Medica Silver Standard - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Megan Garcia 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.

Megan Garcia is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

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.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 4082903505

    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: I20160523000675

    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.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1740569342, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
4
Doubled → 8
Pos 4
0
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
6
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
3
Unchanged
Pos 9
4
Doubled → 8
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 5 → 10 → 1 9 → 18 → 9 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 8 + 0 + 1 + 0 + 6 + 1 + 8 + 3 + 8 + 24 = 68

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1740569342.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Counselor (Professional)
1111 E SPRUCE ST
GARDEN CITY, KS 67846
Counselor (Professional)
1111 E SPRUCE ST
GARDEN CITY, KS 67846
Marriage & Family Therapist
1111 E SPRUCE ST
GARDEN CITY, KS 67846
Social Worker
1111 E SPRUCE ST
GARDEN CITY, KS 67846
Social Worker
1111 E SPRUCE ST
GARDEN CITY, KS 67846
Counselor (Professional)
1111 E SPRUCE ST
GARDEN CITY, KS 67846
Nurse Practitioner (Psychiatric/Mental Health)
1111 E SPRUCE ST
GARDEN CITY, KS 67846
Counselor (Professional)
1111 E SPRUCE ST
GARDEN CITY, KS 67846
Social Worker
1111 E SPRUCE ST
GARDEN CITY, KS 67846
Counselor (Professional)
1111 E SPRUCE ST
GARDEN CITY, KS 67846
Counselor (Professional)
1111 E SPRUCE ST
GARDEN CITY, KS 67846
Social Worker
1111 E SPRUCE ST
GARDEN CITY, KS 67846
Social Worker
1111 E SPRUCE ST
GARDEN CITY, KS 67846
Psychiatry & Neurology (Psychiatry)
1111 E SPRUCE ST
GARDEN CITY, KS 67846
Social Worker
1111 E SPRUCE ST
GARDEN CITY, KS 67846
Residential Treatment Facility, Emotionally Disturbed Children
1111 E SPRUCE ST
GARDEN CITY, KS 67846
Community/Behavioral Health
1111 E SPRUCE ST
GARDEN CITY, KS 67846
Community/Behavioral Health
1111 E SPRUCE ST
GARDEN CITY, KS 67846
Psychologist
1111 E SPRUCE ST
GARDEN CITY, KS 67846
Social Worker
1111 E SPRUCE ST
GARDEN CITY, KS 67846

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1740569342, enumerated as an "individual" on August 12, 2011.

The provider is located at 1111 E SPRUCE ST GARDEN CITY, KS 67846 and the phone number is (620) 276-6789.

Social Worker with taxonomy code 104100000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Kansas, Inc. and. Please consult your insurance carrier or call the provider to verify.