Keonna Moffett, LICSW in Renton, WA - Medicare Social Worker Provider

Keonna Moffett, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Renton, Washington. Her current practice location is 2715 Naches Ave Sw, Renton, Washington. You can reach out to her office (for appointments etc.) via phone at (206) 630-1680.

Keonna Moffett is licensed to practice in Washington (license number LW60608715) 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 1871197814.

Contact Information

	Keonna Moffett, LICSW
	2715 Naches Ave Sw, Renton, WA 98057-2627
	(206) 630-1680
	(206) 630-1601

Map and Direction

Healthcare Provider's Profile

Full Name	Keonna Moffett
Gender	Female
Speciality	Social Worker - Clinical
Location	2715 Naches Ave Sw, Renton, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1871197814
Provider Enumeration Date: 11/30/2020
Last Update Date: 04/15/2021

Medicare PECOS Information:

PECOS PAC ID: 4688088214
Enrollment ID: I20210122000833

Medical Identifiers

Medical identifiers for Keonna Moffett such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871197814	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LW60608715 (Washington)	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. Keonna Moffett allows following entities to bill medicare on her behalf.

Entity Name	Kaiser Foundation Health Plan Of Washington
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396810701 PECOS PAC ID: 9032022579 Enrollment ID: O20031112000454

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. Keonna Moffett 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
Keonna Moffett, LICSW 4302 S 122nd St, Tukwila, WA 98178-3437 Ph: (206) 725-0924	Keonna Moffett, LICSW 2715 Naches Ave Sw, Renton, WA 98057-2627 Ph: (206) 630-1680

Reviews and Comments

Social Worker in Renton, WA

Mr. Mark Kekoa Casey, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 220 S. 3rd Place, Renton, WA 98057 Phone: 425-228-0074
Ms. Larraine Jo-anne Lynch, M.S.W., L.I.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 200 Mill Ave S Ste 10, Renton, WA 98057 Phone: 425-282-0339 Fax: 425-282-0939
Laura Lynn Myer, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1200 Sw 27th St, Renton, WA 98057 Phone: 425-235-2800 Fax: 877-516-9184
Michael Damon, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1850 Grant Ave S, E3, Renton, WA 98055 Phone: 206-972-9545
Anthony G Ensey, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 419 S 2nd St Ste 2, Renton, WA 98057 Phone: 425-203-7201
Courtney Elizabeth Campbell, M.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 275 Bronson Way Ne, Renton, WA 98056 Phone: 425-235-2800 Fax: 425-235-2815
Amal Abdulrahman, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 14815 200th Ave Se, Renton, WA 98059 Phone: 206-612-4819

Keonna Moffett, LICSW - Medicare Clinical Social Worker in Renton, WA