Kenisha Rotibi, is a medicare enrolled "Case Manager/care Coordinator" provider in Grand Prairie, Texas. Her current practice location is
5963 Ridgeway Dr, Grand Prairie, Texas. You can reach out to her office (for appointments etc.) via phone at
(972) 890-6101.
Kenisha Rotibi is licensed to practice in * (Not Available) (license number ) 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 1679029136.
Healthcare Provider's Profile
| Full Name | Kenisha Rotibi |
|---|
| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 5963 Ridgeway Dr, Grand Prairie, Texas |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kenisha Rotibi attended and graduated from in
NPI Data:
- NPI Number: 1679029136
- Provider Enumeration Date: 08/25/2016
- Last Update Date: 09/26/2023
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Kenisha Rotibi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679029136 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | 55603 (Texas) | Secondary |
| 172V00000X | Community Health Worker | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Primary |
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. Kenisha Rotibi 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 |
|---|
Kenisha Rotibi,
5963 Ridgeway Dr,
Grand Prairie, TX 75052-0444
Ph: () - | Kenisha Rotibi,
5963 Ridgeway Dr,
Grand Prairie, TX 75052-0444
Ph: (972) 890-6101 |
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