Kettisha M Hodges, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Quincy, Illinois. She graduated from healthcare school in 2004 and has 20 years of diverse experience with area of expertise as Clinical Social Worker. Her current practice location is
2001 Maine St. Suite 102, Quincy, Illinois. You can reach out to her office (for appointments etc.) via phone at
(217) 740-2719.
Kettisha M Hodges is licensed to practice in Illinois (license number 149018038) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1235425620.
Healthcare Provider's Profile
Full Name | Kettisha M Hodges |
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Gender | Female |
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Speciality | Clinical Social Worker |
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Experience | 20 Years |
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Location | 2001 Maine St. Suite 102, Quincy, Illinois |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Kettisha M Hodges graduated from medical school in 2004
NPI Data:
- NPI Number: 1235425620
- Provider Enumeration Date: 06/23/2011
- Last Update Date: 11/04/2021
Medicare PECOS Information:
- PECOS PAC ID: 9638349103
- Enrollment ID: I20151027002913
Medical Identifiers
Medical identifiers for Kettisha M Hodges such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1235425620 | NPI | - | NPPES |
F400252568 | Medicaid | IL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | 2010028380 (Missouri) | Secondary |
1041C0700X | Social Worker - Clinical | 149018038 (Illinois) | 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. Kettisha M Hodges allows following entities to bill medicare on her behalf.
Entity Name | Optimal Change, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1578134268 PECOS PAC ID: 7012308125 Enrollment ID: O20211228002215 |
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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. Kettisha M Hodges 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 |
Kettisha M Hodges, LCSW 609 S 2nd St, Canton, MO 63435-1626 Ph: (573) 406-2473 | Kettisha M Hodges, LCSW 2001 Maine St. Suite 102, Quincy, IL 62301-6230 Ph: (217) 740-2719 |
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