Kamla Fennimore, MA in Oakland, CA - Medicare Social Worker Provider

Kamla Fennimore, MA is a medicare enrolled "Social Worker - Clinical" provider in Oakland, California. Her current practice location is 4351 Broadway, Oakland, California. You can reach out to her office (for appointments etc.) via phone at (510) 535-6200.

Kamla Fennimore is licensed to practice in California (license number 27514) 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 1710274519.

Contact Information

	Kamla Fennimore, MA
	4351 Broadway, Oakland, CA 94611-4612
	(510) 535-6200
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kamla Fennimore
Gender	Female
Speciality	Social Worker - Clinical
Location	4351 Broadway, Oakland, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710274519
Provider Enumeration Date: 06/30/2011
Last Update Date: 06/30/2011

Medicare PECOS Information:

PECOS PAC ID: 2163651019
Enrollment ID: I20220317000561

Medical Identifiers

Medical identifiers for Kamla Fennimore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710274519	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	27514 (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. Kamla Fennimore allows following entities to bill medicare on her behalf.

Entity Name	Blue Moon Senior Counseling Of California Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447678990 PECOS PAC ID: 9335360981 Enrollment ID: O20141023000497

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. Kamla Fennimore 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
Kamla Fennimore, MA 4351 Broadway, Oakland, CA 94611-4612 Ph: () -	Kamla Fennimore, MA 4351 Broadway, Oakland, CA 94611-4612 Ph: (510) 535-6200

Reviews and Comments

Social Worker in Oakland, CA

Ms. Karen Lisa Thomas, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 747 52nd Street, Oakland, CA 94609 Phone: 510-701-8751
Mr. Gilberto Madrid, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3867 Howe St, Oakland, CA 94611 Phone: 510-531-3894
Patricia Ann Sweetwine, MSW, MPH Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5709 Market St, Oakland, CA 94608 Phone: 510-652-3300 Fax: 510-652-7720
Ms. Yvonne Diane Escarsega, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1411 E 31st St, Oakland, CA 94602 Phone: 510-437-4373 Fax: 510-437-5170
Ms. Stacey Nicole Francis, M.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 925 Brockhurst St, Oakland, CA 94608 Phone: 510-923-9600
Mrs. Abby Ross Blum, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8945 Golf Links Rd, Oakland, CA 94605 Phone: 510-317-1444
Aretha Hampton, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 465 34th St, Oakland, CA 94609 Phone: 510-847-8847

Kamla Fennimore, MA - Medicare Clinical Social Worker in Oakland, CA