Mrs Anais Kineyda Mendieta, LCSW, LCAS is a medicare enrolled "Social Worker - Clinical" provider in Raleigh, North Carolina. Her current practice location is
5814 Blacksmith Dr, Raleigh, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(910) 920-5630.
Mrs Anais Kineyda Mendieta is licensed to practice in North Carolina (license number C013650) 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 1194296749.
Healthcare Provider's Profile
| Full Name | Mrs Anais Kineyda Mendieta |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 5814 Blacksmith Dr, Raleigh, North Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1194296749
- Provider Enumeration Date: 12/07/2018
- Last Update Date: 01/26/2023
Medicare PECOS Information:
- PECOS PAC ID: 3476960931
- Enrollment ID: I20210329002292
Medical Identifiers
Medical identifiers for Mrs Anais Kineyda Mendieta such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1194296749 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LCAS-25246 (North Carolina) | Secondary |
| 1041C0700X | Social Worker - Clinical | P013128 (North Carolina) | Secondary |
| 1041C0700X | Social Worker - Clinical | C013650 (North 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. Mrs Anais Kineyda Mendieta allows following entities to bill medicare on her behalf.
| Entity Name | Haymount Institute For Psychological Services Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1528239993
PECOS PAC ID: 1153498415
Enrollment ID: O20080929000365 |
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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. Mrs Anais Kineyda Mendieta 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 |
|---|
Mrs Anais Kineyda Mendieta, LCSW, LCAS
3064 Wake Forest Rd # 1223,
Raleigh, NC 27609-7844
Ph: (910) 920-5630 | Mrs Anais Kineyda Mendieta, LCSW, LCAS
5814 Blacksmith Dr,
Raleigh, NC 27606-7701
Ph: (910) 920-5630 |
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