Mr Keith Mosa-basha, LCSW in Royal Oak, MI - Medicare Social Worker Provider

Mr Keith Mosa-basha, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Royal Oak, Michigan. His current practice location is 30701 Woodward Ave, Royal Oak, Michigan. You can reach out to his office (for appointments etc.) via phone at (248) 288-9333.

Mr Keith Mosa-basha is licensed to practice in Michigan (license number 6801116690) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1518433895.

Contact Information

	Mr Keith Mosa-basha, LCSW
	30701 Woodward Ave, Royal Oak, MI 48073-0987
	(248) 288-9333
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Keith Mosa-basha
Gender	Male
Speciality	Social Worker - Clinical
Location	30701 Woodward Ave, Royal Oak, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1518433895
Provider Enumeration Date: 10/15/2018
Last Update Date: 10/30/2024

Medicare PECOS Information:

PECOS PAC ID: 7012301088
Enrollment ID: I20220308002863

Medical Identifiers

Medical identifiers for Mr Keith Mosa-basha such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518433895	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	6801103203 (Michigan)	Secondary
1041C0700X	Social Worker - Clinical	6801116690 (Michigan)	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. Mr Keith Mosa-basha allows following entities to bill medicare on his behalf.

Entity Name	Downriver Mental Health Clinic Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295866135 PECOS PAC ID: 7911995139 Enrollment ID: O20040505000533

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. Mr Keith Mosa-basha 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
Mr Keith Mosa-basha, LCSW Po Box 250304, West Bloomfield, MI 48325-0304 Ph: (248) 970-2163	Mr Keith Mosa-basha, LCSW 30701 Woodward Ave, Royal Oak, MI 48073-0987 Ph: (248) 288-9333

Reviews and Comments

Social Worker in Royal Oak, MI

Mrs. Jodie Michelle Jacobs, LMSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2011 Crooks Rd, Royal Oak, MI 48073 Phone: 248-414-4050 Fax: 248-414-4053
Michal Goldberg, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2011 Crooks Rd, Royal Oak, MI 48073 Phone: 248-242-7893
Karen Tyner Rouff, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 415 S West St, #150, Royal Oak, MI 48067 Phone: 248-988-7465 Fax: 248-644-2415
Ms. Eleanor D Payson, LMSW, ACSW, LMFT Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 333 W 7th St, Suite 290, Royal Oak, MI 48067 Phone: 248-548-0306 Fax: 248-541-4379
Christina Gallardo, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 418 N. Main Street, Suite 200, Pmb 4132, Royal Oak, MI 48067 Phone: 313-241-6862
Joel Blumenfeld, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2011 Crooks Rd, Royal Oak, MI 48073 Phone: 248-387-9676
Douglas J Boersen, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3042 Trafford Rd, Royal Oak, MI 48073 Phone: 248-310-9632

Mr Keith Mosa-basha, LCSW - Medicare Clinical Social Worker in Royal Oak, MI