Mr Phillip Kendall, is a medicare enrolled "Social Worker - Clinical" provider in Towson, Maryland. His current practice location is
920 Providence Rd Ste 101, Towson, Maryland. You can reach out to his office (for appointments etc.) via phone at
(667) 777-1328.
Mr Phillip Kendall is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1891006268.
Healthcare Provider's Profile
Full Name | Mr Phillip Kendall |
---|
Gender | Male |
---|
Speciality | Social Worker - Clinical |
---|
Location | 920 Providence Rd Ste 101, Towson, Maryland |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1891006268
- Provider Enumeration Date: 06/30/2010
- Last Update Date: 01/03/2024
Medicare PECOS Information:
- PECOS PAC ID: 9537608708
- Enrollment ID: I20241111003321
Medical Identifiers
Medical identifiers for Mr Phillip Kendall such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1891006268 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | 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. Mr Phillip Kendall allows following entities to bill medicare on his behalf.
Entity Name | Alliance Wellness Solutions Llc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1104604099 PECOS PAC ID: 8628517893 Enrollment ID: O20240902000255 |
---|
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. Mr Phillip Kendall 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 |
Mr Phillip Kendall, 11106 Barnbougle Ct, Owings Mills, MD 21117-2483 Ph: (443) 275-8181 | Mr Phillip Kendall, 920 Providence Rd Ste 101, Towson, MD 21286-2979 Ph: (667) 777-1328 |
Reviews and Comments