Courtney Tierra Keith, LCSW 120004 - Medicare Clinical Social Worker in San Diego, CA

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Courtney Tierra Keith, LCSW 120004 is a medicare enrolled "Social Worker - Clinical" provider in San Diego, California. She graduated from medical school in 2018 and has 7 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Step Up Care Of North Carolina Pc and her current practice location is 5060 Shoreham Pl Ste 330, San Diego, California. You can reach out to her office (for appointments etc.) via phone at (619) 866-0998.

Courtney Tierra Keith is licensed to practice in California (license number 120004) 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 1770093452.

Contact Information

Courtney Tierra Keith, LCSW 120004
5060 Shoreham Pl Ste 330,
San Diego, CA 92122-5976
(619) 866-0998
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameCourtney Tierra Keith
GenderFemale
SpecialityClinical Social Worker
Experience7 Years
Location5060 Shoreham Pl Ste 330, San Diego, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Courtney Tierra Keith graduated from medical school in 2018
  NPI Data:
  • NPI Number: 1770093452
  • Provider Enumeration Date: 10/06/2017
  • Last Update Date: 06/25/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6901201607
  • Enrollment ID: I20210818002205

Medical Identifiers

Medical identifiers for Courtney Tierra Keith such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770093452NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical S.1500130 (Ohio)Secondary
1041C0700XSocial Worker - Clinical C013689 (North Carolina)Secondary
1041C0700XSocial Worker - Clinical 120004 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Step Up Care Of North Carolina Pc448603687815

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. Courtney Tierra Keith allows following entities to bill medicare on her behalf.
Entity NameMonarch
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801116405
PECOS PAC ID: 0244273852
Enrollment ID: O20050728000103
Entity NameBmsc Nc Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831611649
PECOS PAC ID: 9739445552
Enrollment ID: O20171113000126
Entity NameWell America Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053074765
PECOS PAC ID: 8628461233
Enrollment ID: O20220203000318
Entity NameStep Up Care Of North Carolina Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841929395
PECOS PAC ID: 4486036878
Enrollment ID: O20220802000558
Entity NameBrightside Medical Of New Jersey Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811524754
PECOS PAC ID: 5799141750
Enrollment ID: O20230517000302

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. Courtney Tierra Keith 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
Courtney Tierra Keith, LCSW 120004
3737 Lander Rd,
Pepper Pike, OH 44124-5712

Ph: () -		Courtney Tierra Keith, LCSW 120004
5060 Shoreham Pl Ste 330,
San Diego, CA 92122-5976

Ph: (619) 866-0998

Reviews and Comments


Social Worker in San Diego, CA

Ms. Sonya None Starr, L.C.S.W.
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 4660 Palm Ave, San Diego, CA 92154
Phone: 619-662-5000    
Evelina Jaime, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 286 Euclid Ave, Suite 102, San Diego, CA 92114
Phone: 619-266-2111    Fax: 619-266-0496
Channing Gredvig, LCSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 3420 Kenyon St, San Diego, CA 92110
Phone: 619-221-6550    Fax: 619-221-6556
Mr. Javier Perez, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 2305 Meade Ave, 3, San Diego, CA 92116
Phone: 619-787-2534    
Mr. Jonathan R Boland, LCSW, BCD, MPH
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: Naval Consolidated Brig Miramar, 46141 Miramar Way, San Diego, CA 92126
Phone: 619-846-3381    
Leah Bogopulsky, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 3020 Childrens Way # 5100, San Diego, CA 92123
Phone: 858-966-1700    
Dawnn Marie Mendoza Guray, ASW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 8775 Aero Dr Ste 132, San Diego, CA 92123
Phone: 858-609-8742    

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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