Durina Keyonnie, LCSW in Chandler, AZ - Medicare Counselor Provider

Durina Keyonnie, LCSW is a medicare enrolled "Counselor - Mental Health" provider in Chandler, Arizona. Her current practice location is 2022 N Nevada St Apt 1038, Chandler, Arizona. You can reach out to her office (for appointments etc.) via phone at (480) 453-6489.

Durina Keyonnie is licensed to practice in Arizona (license number LCSW-18085) 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 1104400548.

Contact Information

	Durina Keyonnie, LCSW
	2022 N Nevada St Apt 1038, Chandler, AZ 85225-0957
	(480) 453-6489
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Durina Keyonnie
Gender	Female
Speciality	Counselor - Mental Health
Location	2022 N Nevada St Apt 1038, Chandler, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104400548
Provider Enumeration Date: 05/11/2021
Last Update Date: 05/11/2021

Medicare PECOS Information:

PECOS PAC ID: 8527437110
Enrollment ID: I20221202000835

Medical Identifiers

Medical identifiers for Durina Keyonnie such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104400548	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	LCSW-18085 (Arizona)	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. Durina Keyonnie allows following entities to bill medicare on her behalf.

Entity Name	Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083643738 PECOS PAC ID: 1759290901 Enrollment ID: O20031105000797

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. Durina Keyonnie 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
Durina Keyonnie, LCSW Po Box 7633, Chandler, AZ 85246-7633 Ph: () -	Durina Keyonnie, LCSW 2022 N Nevada St Apt 1038, Chandler, AZ 85225-0957 Ph: (480) 453-6489

Reviews and Comments

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Durina Keyonnie, LCSW - Medicare Counselor in Chandler, AZ