Kendra Elise O'berry, LISW is a medicare enrolled "Social Worker - Clinical" provider in North Augusta, South Carolina. Her current practice location is
534 Dove St, North Augusta, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(404) 759-5467.
Kendra Elise O'berry is licensed to practice in Georgia (license number CSW007182) 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 1184187353.
Healthcare Provider's Profile
Full Name | Kendra Elise O'berry |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 534 Dove St, North Augusta, South Carolina |
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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: 1184187353
- Provider Enumeration Date: 04/12/2019
- Last Update Date: 12/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 7416325089
- Enrollment ID: I20221201003238
Medical Identifiers
Medical identifiers for Kendra Elise O'berry such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1184187353 | NPI | - | NPPES |
12108 | Other | SC | SC LICENSURE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | CSW007182 (Georgia) | 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. Kendra Elise O'berry allows following entities to bill medicare on her behalf.
Entity Name | People United Counseling & Consulting |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1780380394 PECOS PAC ID: 2567836075 Enrollment ID: O20230412003246 |
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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. Kendra Elise O'berry 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 |
Kendra Elise O'berry, LISW 534 Dove St, North Augusta, SC 29841-2982 Ph: (404) 759-5467 | Kendra Elise O'berry, LISW 534 Dove St, North Augusta, SC 29841-2982 Ph: (404) 759-5467 |
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