Kalisha Koran Brown, LCSW in Grand Terrace, CA - Medicare Social Worker Provider

Kalisha Koran Brown, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Grand Terrace, California. Her current practice location is 12139 Mount Vernon Ave Ste 105, Grand Terrace, California. You can reach out to her office (for appointments etc.) via phone at (951) 903-8022.

Kalisha Koran Brown is licensed to practice in California (license number 99995) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1396307070.

Contact Information

	Kalisha Koran Brown, LCSW
	12139 Mount Vernon Ave Ste 105, Grand Terrace, CA 92313-5500
	(951) 903-8022
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kalisha Koran Brown
Gender	Female
Speciality	Social Worker - Clinical
Location	12139 Mount Vernon Ave Ste 105, Grand Terrace, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396307070
Provider Enumeration Date: 07/03/2019
Last Update Date: 01/08/2025

Medicare PECOS Information:

PECOS PAC ID: 7012313133
Enrollment ID: I20210914003840

Medical Identifiers

Medical identifiers for Kalisha Koran Brown such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396307070	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	99995 (California)	Primary

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. Kalisha Koran Brown allows following entities to bill medicare on her behalf.

Entity Name	Sac Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013935923 PECOS PAC ID: 4385533579 Enrollment ID: O20040315000608

Entity Name	Breaking Cycles Counseling
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972284958 PECOS PAC ID: 4082078027 Enrollment ID: O20230911000920

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. Kalisha Koran Brown 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
Kalisha Koran Brown, LCSW 12139 Mount Vernon Ave Ste 105, Grand Terrace, CA 92313-5500 Ph: (951) 903-8022	Kalisha Koran Brown, LCSW 12139 Mount Vernon Ave Ste 105, Grand Terrace, CA 92313-5500 Ph: (951) 903-8022

Reviews and Comments

Social Worker in Grand Terrace, CA

Kyndle Beth Crigler, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 21935 Van Buren St Ste A-1, Grand Terrace, CA 92313 Phone: 909-906-1023
Saige L Downs, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 12778 Mirado Ave, Grand Terrace, CA 92313 Phone: 951-289-0599
Ms. Lia M Andrews, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 21935 Van Buren St # B-7, Grand Terrace, CA 92313 Phone: 909-906-1023 Fax: 909-906-1023
Cynthia Ludi, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 22504 Canal Cir, Grand Terrace, CA 92313 Phone: 951-743-6736
Uchechukwu Adaure Alozie, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 22365 Barton Rd Ste 302, Grand Terrace, CA 92313 Phone: 909-649-6111
Adella Ruth Jimenez, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 21935 Van Buren St, Grand Terrace, CA 92313 Phone: 909-906-1023

Kalisha Koran Brown, LCSW - Medicare Clinical Social Worker in Grand Terrace, CA