Ms Michelle Elaine Mckenna, is a medicare enrolled "Social Worker - Clinical" provider in Milwaukee, Wisconsin. Her current practice location is
210 W Capitol Dr, Milwaukee, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(414) 727-6320.
Ms Michelle Elaine Mckenna is licensed to practice in Wisconsin (license number 8153-123) 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 1063983294.
Healthcare Provider's Profile
Full Name | Ms Michelle Elaine Mckenna |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 210 W Capitol Dr, Milwaukee, Wisconsin |
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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: 1063983294
- Provider Enumeration Date: 12/16/2018
- Last Update Date: 12/16/2018
Medicare PECOS Information:
- PECOS PAC ID: 0042550170
- Enrollment ID: I20190327001160
Medical Identifiers
Medical identifiers for Ms Michelle Elaine Mckenna such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063983294 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 15959-132 (Wisconsin) | Secondary |
1041C0700X | Social Worker - Clinical | 8153-123 (Wisconsin) | 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. Ms Michelle Elaine Mckenna allows following entities to bill medicare on her behalf.
Entity Name | Outreach Community Health Centers Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1710032669 PECOS PAC ID: 1355247735 Enrollment ID: O20031208000704 |
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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. Ms Michelle Elaine Mckenna 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 |
Ms Michelle Elaine Mckenna, 210 W Capitol Dr, Milwaukee, WI 53212-1123 Ph: (414) 727-6320 | Ms Michelle Elaine Mckenna, 210 W Capitol Dr, Milwaukee, WI 53212-1123 Ph: (414) 727-6320 |
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