Mrs Keran Eudora Ernest, LMSW is a medicare enrolled "Social Worker - Clinical" provider in Flint, Michigan. Her current practice location is
420 W 5th Ave, Flint, Michigan. You can reach out to her office (for appointments etc.) via phone at
(810) 496-4913.
Mrs Keran Eudora Ernest is licensed to practice in Michigan (license number 6801090234) 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 1811274723.
Healthcare Provider's Profile
Full Name | Mrs Keran Eudora Ernest |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 420 W 5th Ave, Flint, Michigan |
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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: 1811274723
- Provider Enumeration Date: 11/05/2011
- Last Update Date: 09/26/2019
Medicare PECOS Information:
- PECOS PAC ID: 6800268269
- Enrollment ID: I20230211000294
Medical Identifiers
Medical identifiers for Mrs Keran Eudora Ernest such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1811274723 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | C-01030 (Michigan) | Secondary |
104100000X | Social Worker | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 6801090234 (Michigan) | 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 Keran Eudora Ernest allows following entities to bill medicare on her behalf.
Entity Name | Genesee Health System |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1043554348 PECOS PAC ID: 6002051091 Enrollment ID: O20130321000586 |
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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 Keran Eudora Ernest 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 Keran Eudora Ernest, LMSW 3292 Jacque St, Flint, MI 48532-3709 Ph: (810) 810-9080 | Mrs Keran Eudora Ernest, LMSW 420 W 5th Ave, Flint, MI 48503 Ph: (810) 496-4913 |
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