Karen Anita Giles, LCSW-C, LICSW - Medicare Clinical Social Worker in Upper Marlboro, MD

Karen Anita Giles, LCSW-C, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Upper Marlboro, Maryland. She graduated from medical school in 2001 and has 23 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Kaiser Foundation Health Plan Of The Mid-atlantic States, Inc and her current practice location is 96 Harry S Truman Dr, Suite 250, Upper Marlboro, Maryland. You can reach out to her office (for appointments etc.) via phone at (301) 324-0600.

Karen Anita Giles is licensed to practice in Maryland (license number 12895) 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 1912193293.

Contact Information

Karen Anita Giles, LCSW-C, LICSW
96 Harry S Truman Dr, Suite 250,
Upper Marlboro, MD 20774-1000
(301) 324-0600
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameKaren Anita Giles
GenderFemale
SpecialityClinical Social Worker
Experience23 Years
Location96 Harry S Truman Dr, Upper Marlboro, Maryland
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:
  • Karen Anita Giles graduated from medical school in 2001
  NPI Data:
  • NPI Number: 1912193293
  • Provider Enumeration Date: 09/19/2007
  • Last Update Date: 06/02/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 0446687594
  • Enrollment ID: I20200302000693

Medical Identifiers

Medical identifiers for Karen Anita Giles such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912193293NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 12895 (Maryland)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Kaiser Foundation Health Plan Of The Mid-atlantic States, Inc37794958581628

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. Karen Anita Giles allows following entities to bill medicare on her behalf.
Entity NameKaiser Foundation Health Plan Of The Mid-atlantic States, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952461816
PECOS PAC ID: 3779495858
Enrollment ID: O20040105000308

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. Karen Anita Giles 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
Karen Anita Giles, LCSW-C, LICSW
13916 Lake Meadows Dr,
Bowie, MD 20720-3813

Ph: (301) 873-8741
Karen Anita Giles, LCSW-C, LICSW
96 Harry S Truman Dr, Suite 250,
Upper Marlboro, MD 20774-1000

Ph: (301) 324-0600

Reviews and Comments


Social Worker in Upper Marlboro, MD

Ms. Safi Khadija Lynch, L.C.S.W.-CLINICAL
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 9701 Apollo Dr, Suite 391, Upper Marlboro, MD 20774
Phone: 301-583-1181    
Sonia Reeves Harvey, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 8405 Berwick Rd, Upper Marlboro, MD 20772
Phone: 301-806-1552    
Kristen Danielle Brooks, LCSW-C
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1401 Mercantile Ln Ste 433, Upper Marlboro, MD 20774
Phone: 240-681-9721    Fax: 240-825-1424
Jeanine Michelle Wilson, LICSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 4809 Colonel Brooke Ct, Upper Marlboro, MD 20772
Phone: 410-507-8183    Fax: 301-780-3271
Therese Harrigan, MSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 14735 Main St, Upper Marlboro, MD 20772
Phone: 301-985-5960    Fax: 301-699-2886
Mrs. Kimberly Lynn Walker, LCSW-C
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 9507 Vermell Pl, Upper Marlboro, MD 20774
Phone: 443-306-5678    
Netelege Richards, LCSW-C
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1300 Mercantile Ln Ste 100s, Upper Marlboro, MD 20774
Phone: 301-246-2011    

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.