Kennise J Baker, LMSW in Herndon, VA - Medicare Counselor Provider

Kennise J Baker, LMSW is a medicare enrolled "Counselor - Mental Health" provider in Herndon, Virginia. Her current practice location is 2343 Dulles Station Blvd Apt B04, Herndon, Virginia. You can reach out to her office (for appointments etc.) via phone at (571) 241-9834.

Kennise J Baker is licensed to practice in Virginia (license number 0903003470) 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 1972205425.

Contact Information

	Kennise J Baker, LMSW
	2343 Dulles Station Blvd Apt B04, Herndon, VA 20171-6397
	(571) 241-9834
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kennise J Baker
Gender	Female
Speciality	Counselor - Mental Health
Location	2343 Dulles Station Blvd Apt B04, Herndon, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1972205425
Provider Enumeration Date: 03/20/2023
Last Update Date: 03/23/2023

Medicare PECOS Information:

PECOS PAC ID: 6608210794
Enrollment ID: I20240216001278

Medical Identifiers

Medical identifiers for Kennise J Baker such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972205425	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	0903003470 (Virginia)	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. Kennise J Baker allows following entities to bill medicare on her behalf.

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20221213001514

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. Kennise J Baker 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
Kennise J Baker, LMSW 11415 Isaac Newton Sq S, Reston, VA 20190-5005 Ph: () -	Kennise J Baker, LMSW 2343 Dulles Station Blvd Apt B04, Herndon, VA 20171-6397 Ph: (571) 241-9834

Reviews and Comments

Counselor in Herndon, VA

Karen Ann Carraro, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 3221 West Ox Road, Sunrise I Fairfax Ad5, Herndon, VA 20171 Phone: 703-648-0887 Fax: 703-758-6641
Delores L Symonette, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2325 Dulles Corner Blvd, Suite 500, Herndon, VA 20171 Phone: 703-788-6816 Fax: 703-788-6575
Ms. Paula Lucia Marcolin, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 459 Carlisle Dr Ste B, Herndon, VA 20170 Phone: 571-323-1416
Heidi Diane Lapham, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1031 Sterling Rd Ste 203, Herndon, VA 20170 Phone: 800-863-7224
Elizabeth Ann Stevens, MED Counselor Medicare: Not Enrolled in Medicare Practice Location: 13454 Sunrise Valley Dr Ste 250, Herndon, VA 20171 Phone: 703-464-7400
Alelia Paige Higgenbottom, LPC-MHSP Counselor Medicare: Not Enrolled in Medicare Practice Location: 2340 Carta Way Apt 2028, Herndon, VA 20171 Phone: 901-326-9031
Ms. Gurusher Kaur Khalsa, M.ED., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 457b Carlisle Dr, Herndon, VA 20170 Phone: 703-742-7599 Fax: 703-464-5822

Kennise J Baker, LMSW - Medicare Counselor in Herndon, VA