Kenesha T Hall, MSW is a medicare enrolled "Social Worker - Clinical" provider in Fairfax, Virginia. Her current practice location is
8500 Executive Park Ave Ste 200, Fairfax, Virginia. You can reach out to her office (for appointments etc.) via phone at
(703) 698-5220.
Kenesha T Hall is licensed to practice in California (license number 107074) 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 1932682481.
Healthcare Provider's Profile
| Full Name | Kenesha T Hall |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 8500 Executive Park Ave Ste 200, Fairfax, Virginia |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1932682481
- Provider Enumeration Date: 09/11/2018
- Last Update Date: 01/18/2024
Medicare PECOS Information:
- PECOS PAC ID: 9032594650
- Enrollment ID: I20230123001766
Medical Identifiers
Medical identifiers for Kenesha T Hall such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1932682481 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 84064 (California) | Secondary |
| 101Y00000X | Counselor | 84064 (California) | Secondary |
| 104100000X | Social Worker | 84064 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | 107074 (California) | 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. Kenesha T Hall allows following entities to bill medicare on her behalf.
| Entity Name | Northern Virginia Psychiatric Group |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1396786141
PECOS PAC ID: 9830184852
Enrollment ID: O20040419001117 |
|---|
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. Kenesha T Hall 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 |
|---|
Kenesha T Hall, MSW
1891 Effie St,
Los Angeles, CA 90026-1711
Ph: (323) 644-2000 | Kenesha T Hall, MSW
8500 Executive Park Ave Ste 200,
Fairfax, VA 22031-2228
Ph: (703) 698-5220 |
Reviews and Comments