Keisha Hinton Bryan, LCSW, LCAS is a medicare enrolled "Social Worker - Clinical" provider in Knightdale, North Carolina. She graduated from healthcare school in 2006 and has 18 years of diverse experience with area of expertise as Clinical Social Worker. Her current practice location is
1008 Big Oak Ct Ste F, Knightdale, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(919) 520-9392.
Keisha Hinton Bryan is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1073799227.
Healthcare Provider's Profile
| Full Name | Keisha Hinton Bryan |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 18 Years |
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| Location | 1008 Big Oak Ct Ste F, Knightdale, North Carolina |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Keisha Hinton Bryan graduated from medical school in 2006
NPI Data:
- NPI Number: 1073799227
- Provider Enumeration Date: 01/18/2008
- Last Update Date: 07/01/2013
Medicare PECOS Information:
- PECOS PAC ID: 0941339253
- Enrollment ID: I20100525000806
Medical Identifiers
Medical identifiers for Keisha Hinton Bryan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1073799227 | NPI | - | NPPES |
| 6112015 | Medicaid | NC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | 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. Keisha Hinton Bryan allows following entities to bill medicare on her behalf.
| Entity Name | Wake Renewal Counseling Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1205276599
PECOS PAC ID: 9638310790
Enrollment ID: O20130801000302 |
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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. Keisha Hinton Bryan 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 |
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Keisha Hinton Bryan, LCSW, LCAS
4905 Ravelstone Ct,
Raleigh, NC 27610-2897
Ph: (919) 520-9392 | Keisha Hinton Bryan, LCSW, LCAS
1008 Big Oak Ct Ste F,
Knightdale, NC 27545-6566
Ph: (919) 520-9392 |
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