Kendra Evans, LISW-CP is a medicare enrolled "Social Worker - Clinical" provider in Ridgeland, South Carolina. Her current practice location is
61 Riverwalk Blvd Ste H, Ridgeland, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(843) 636-5017.
Kendra Evans is licensed to practice in South Carolina (license number 15684) 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 1467843821.
Healthcare Provider's Profile
Full Name | Kendra Evans |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 61 Riverwalk Blvd Ste H, Ridgeland, 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: 1467843821
- Provider Enumeration Date: 02/06/2015
- Last Update Date: 12/16/2022
Medicare PECOS Information:
- PECOS PAC ID: 5698147734
- Enrollment ID: I20230217001888
Medical Identifiers
Medical identifiers for Kendra Evans such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1467843821 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 10971 (South Carolina) | Secondary |
1041C0700X | Social Worker - Clinical | 15684 (South Carolina) | 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 Evans allows following entities to bill medicare on her behalf.
Entity Name | Bluffton Okatie Counseling Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1225544562 PECOS PAC ID: 4880956408 Enrollment ID: O20180320001031 |
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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 Evans 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 Evans, LISW-CP 61 Riverwalk Blvd Ste H, Ridgeland, SC 29936-3252 Ph: (843) 636-5017 | Kendra Evans, LISW-CP 61 Riverwalk Blvd Ste H, Ridgeland, SC 29936-3252 Ph: (843) 636-5017 |
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