Ambriel Kinney, MSW, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Oxford, Mississippi. Her current practice location is
612 Saddle Creek Dr, Oxford, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(662) 809-6397.
Ambriel Kinney is licensed to practice in Mississippi (license number C10613) 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 1053099564.
Healthcare Provider's Profile
Full Name | Ambriel Kinney |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 612 Saddle Creek Dr, Oxford, Mississippi |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1053099564
- Provider Enumeration Date: 07/06/2023
- Last Update Date: 12/20/2024
Medicare PECOS Information:
- PECOS PAC ID: 0749621613
- Enrollment ID: I20240509000385
Medical Identifiers
Medical identifiers for Ambriel Kinney such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053099564 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | C10613 (Mississippi) | Secondary |
1041C0700X | Social Worker - Clinical | 9373 (Tennessee) | Secondary |
1041C0700X | Social Worker - Clinical | C10613 (Mississippi) | 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. Ambriel Kinney allows following entities to bill medicare on her behalf.
Entity Name | Mdb Behavioral Health Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1669835310 PECOS PAC ID: 0749572915 Enrollment ID: O20160708000104 |
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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. Ambriel Kinney 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 |
Ambriel Kinney, MSW, LCSW 612 Saddle Creek Dr, Oxford, MS 38655-8188 Ph: (662) 809-6397 | Ambriel Kinney, MSW, LCSW 612 Saddle Creek Dr, Oxford, MS 38655-8188 Ph: (662) 809-6397 |
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