Kenisha Rotibi, is a medicare enrolled "Case Manager/care Coordinator" provider in Grand Prairie, Texas. She graduated from medical school in 2009 and has 16 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Alaniz Counseling And Behavioral Center Pc and 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 |
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Gender | Female |
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Speciality | Clinical Social Worker |
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Experience | 16 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. |
Medical Education and Training:
- Kenisha Rotibi graduated from medical school in 2009
NPI Data:
- NPI Number: 1679029136
- Provider Enumeration Date: 08/25/2016
- Last Update Date: 09/26/2023
Medicare PECOS Information:
- PECOS PAC ID: 1254629033
- Enrollment ID: I20161011001306
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 |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Alaniz Counseling And Behavioral Center Pc | 0648596924 | 14 |
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. Kenisha Rotibi allows following entities to bill medicare on her behalf.
Entity Name | Alaniz Counseling And Behavioral Center Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1811288731 PECOS PAC ID: 0648596924 Enrollment ID: O20150304000138 |
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Entity Name | Tp-health Incorporated |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1760047526 PECOS PAC ID: 4486089950 Enrollment ID: O20200113000090 |
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Entity Name | Victoria Behavioral Services Clinic Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1376150839 PECOS PAC ID: 5193194983 Enrollment ID: O20221219000998 |
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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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