Jessica Keoviphone, LCSW in West Warwick, RI - Medicare Clinical Social Worker Provider

Jessica Keoviphone, LCSW is a medicare enrolled "Social Worker - Clinical" provider in West Warwick, Rhode Island. She graduated from medical school in 2019 and has 5 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Thundermist Health Center and her current practice location is 186 Providence St, West Warwick, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 615-2800.

Jessica Keoviphone is licensed to practice in Rhode Island (license number CSW02611) 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 1851069769.

Contact Information

	Jessica Keoviphone, LCSW
	186 Providence St, West Warwick, RI 02893-2508
	(401) 615-2800
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jessica Keoviphone
Gender	Female
Speciality	Clinical Social Worker
Experience	5 Years
Location	186 Providence St, West Warwick, Rhode Island
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jessica Keoviphone graduated from medical school in 2019

NPI Data:

NPI Number: 1851069769
Provider Enumeration Date: 09/03/2021
Last Update Date: 09/03/2021

Medicare PECOS Information:

PECOS PAC ID: 3577960343
Enrollment ID: I20210921002050

Medical Identifiers

Medical identifiers for Jessica Keoviphone such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851069769	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	CSW02611 (Rhode Island)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Thundermist Health Center	1557270477	148

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. Jessica Keoviphone allows following entities to bill medicare on her behalf.

Entity Name	Thundermist Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700041001 PECOS PAC ID: 1557270477 Enrollment ID: O20040211000909

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. Jessica Keoviphone 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 Address	Practice Location Address
Jessica Keoviphone, LCSW 186 Providence St, West Warwick, RI 02893-2508 Ph: () -	Jessica Keoviphone, LCSW 186 Providence St, West Warwick, RI 02893-2508 Ph: (401) 615-2800

Reviews and Comments

Social Worker in West Warwick, RI

Miss Latonya C Pete, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 498 Providence St, West Warwick, RI 02893 Phone: 401-996-2141
Jennifer Elizabeth Lewis, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 215 Washington St, West Warwick, RI 02893 Phone: 401-822-1360
Sage Mueller, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 186 Providence St, West Warwick, RI 02893 Phone: 401-615-2800
Jenna Danielle Monteiro, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 186 Providence St, West Warwick, RI 02893 Phone: 401-615-2800
Laura M Linback, MSW, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 186 Providence St, West Warwick, RI 02893 Phone: 401-615-2800
Colleen Mckenna, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 186 Providence St, West Warwick, RI 02893 Phone: 401-615-2800
Susan Kelly, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 186 Providence St, West Warwick, RI 02893 Phone: 401-615-2800

Jessica Keoviphone, LCSW - Medicare Clinical Social Worker in West Warwick, RI