Ms Kettia Duperval, LCSW in Miramar, FL - Medicare Social Worker Provider

Ms Kettia Duperval, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Miramar, Florida. Her current practice location is 9730 Glacier Dr, Miramar, Florida. You can reach out to her office (for appointments etc.) via phone at (954) 993-1646.

Ms Kettia Duperval is licensed to practice in Florida (license number SW20578) 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 1164733895.

Contact Information

	Ms Kettia Duperval, LCSW
	9730 Glacier Dr, Miramar, FL 33025-4407
	(954) 993-1646
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Kettia Duperval
Gender	Female
Speciality	Social Worker - Clinical
Location	9730 Glacier Dr, Miramar, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164733895
Provider Enumeration Date: 06/28/2010
Last Update Date: 11/07/2022

Medicare PECOS Information:

PECOS PAC ID: 5991161010
Enrollment ID: I20230516002002

Medical Identifiers

Medical identifiers for Ms Kettia Duperval such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164733895	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	SW20578 (Florida)	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. Ms Kettia Duperval allows following entities to bill medicare on her behalf.

Entity Name	Mtca Psychological Services P.a.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740552322 PECOS PAC ID: 6406010834 Enrollment ID: O20120614000204

Entity Name	Banyan Community Health Center, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104247188 PECOS PAC ID: 0547410011 Enrollment ID: O20121017000910

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. Ms Kettia Duperval 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
Ms Kettia Duperval, LCSW 4737 N Ocean Dr # 1011, Lauderdale By The Sea, FL 33308-2920 Ph: (954) 993-1646	Ms Kettia Duperval, LCSW 9730 Glacier Dr, Miramar, FL 33025-4407 Ph: (954) 993-1646

Reviews and Comments

Social Worker in Miramar, FL

Jenna Kathleen Oelschegel, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3600 Red Rd Ste 601a, Miramar, FL 33025 Phone: 781-268-8871
Ana Romero, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11820 Miramar Pkwy, Suite 304, Miramar, FL 33025 Phone: 305-450-8445 Fax: 954-272-7892
Mrs. Myriam Dorival, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9120 Andora Dr, Miramar, FL 33025 Phone: 305-316-7291
Mrs. Nuria Del Carmen Steinberg, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 17414 Sw 47th Ct, Miramar, FL 33029 Phone: 954-478-6890
Mr. Zabariel Marcellus Moss Sr., Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 14908 Sw 54th St, Miramar, FL 33027 Phone: 305-903-1396
Johanny Reyes, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5115 Sw 155th Ave, Miramar, FL 33027 Phone: 305-527-7214

Ms Kettia Duperval, LCSW - Medicare Clinical Social Worker in Miramar, FL