Mrs Angela A Kenedy, MSW, PLMHP is a medicare enrolled "Social Worker - Clinical" provider in Omaha, Nebraska. Her current practice location is
2602 J St, Omaha, Nebraska. You can reach out to her office (for appointments etc.) via phone at
(402) 734-5275.
Mrs Angela A Kenedy is licensed to practice in Nebraska (license number 6800) 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 1881958338.
Healthcare Provider's Profile
Full Name | Mrs Angela A Kenedy |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 2602 J St, Omaha, Nebraska |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1881958338
- Provider Enumeration Date: 06/29/2012
- Last Update Date: 06/29/2012
Medicare PECOS Information:
- PECOS PAC ID: 4082955885
- Enrollment ID: I20190404000311
Medical Identifiers
Medical identifiers for Mrs Angela A Kenedy such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1881958338 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 9608 (Nebraska) | Secondary |
1041C0700X | Social Worker - Clinical | 6800 (Nebraska) | 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 Angela A Kenedy allows following entities to bill medicare on her behalf.
Entity Name | Ponca Tribe Of Nebraska |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1710172879 PECOS PAC ID: 0648169177 Enrollment ID: O20190311001784 |
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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 Angela A Kenedy 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 Angela A Kenedy, MSW, PLMHP 2602 J St, Omaha, NE 68107-1643 Ph: (402) 734-5275 | Mrs Angela A Kenedy, MSW, PLMHP 2602 J St, Omaha, NE 68107-1643 Ph: (402) 734-5275 |
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