Raven Littlejohn-kerstens, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Atlanta, Georgia. Her current practice location is
300 Peachtree St Ne Ste Cs2, Atlanta, Georgia. You can reach out to her office (for appointments etc.) via phone at
(865) 630-9062.
Raven Littlejohn-kerstens is licensed to practice in Georgia (license number CSW007373) 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 1407387665.
Healthcare Provider's Profile
| Full Name | Raven Littlejohn-kerstens |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 300 Peachtree St Ne Ste Cs2, Atlanta, Georgia |
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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: 1407387665
- Provider Enumeration Date: 03/21/2017
- Last Update Date: 03/29/2024
Medicare PECOS Information:
- PECOS PAC ID: 9537570239
- Enrollment ID: I20201202001012
Medical Identifiers
Medical identifiers for Raven Littlejohn-kerstens such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1407387665 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YP2500X | Counselor - Professional | MSW007401 (Georgia) | Secondary |
| 1041C0700X | Social Worker - Clinical | CSW007373 (Georgia) | 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. Raven Littlejohn-kerstens allows following entities to bill medicare on her behalf.
| Entity Name | Personal Recovery Network Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1881990869
PECOS PAC ID: 5092611384
Enrollment ID: O20120110000096 |
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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. Raven Littlejohn-kerstens 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 |
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Raven Littlejohn-kerstens, LCSW
2428 Dickey Rd,
Augusta, GA 30906-2671
Ph: (865) 630-9062 | Raven Littlejohn-kerstens, LCSW
300 Peachtree St Ne Ste Cs2,
Atlanta, GA 30308-3565
Ph: (865) 630-9062 |
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