Ms Kesha Green, LMF, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Brooklyn Center, Minnesota. She graduated from healthcare school in 2011 and has 13 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Allina Health System and her current practice location is
3300 County Road 10, Suite 304i, Brooklyn Center, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(763) 355-5461.
Ms Kesha Green is licensed to practice in Minnesota (license number LICSW #25186) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1871831727.
Healthcare Provider's Profile
Full Name | Ms Kesha Green |
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Gender | Female |
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Speciality | Clinical Social Worker |
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Experience | 13 Years |
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Location | 3300 County Road 10, Brooklyn Center, Minnesota |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Ms Kesha Green graduated from medical school in 2011
NPI Data:
- NPI Number: 1871831727
- Provider Enumeration Date: 01/28/2013
- Last Update Date: 02/10/2017
Medicare PECOS Information:
- PECOS PAC ID: 4981975653
- Enrollment ID: I20170731001663
Medical Identifiers
Medical identifiers for Ms Kesha Green such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1871831727 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | LICSW #25186 (Minnesota) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Allina Health System | 4587573613 | 3101 |
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 Kesha Green allows following entities to bill medicare on her behalf.
Entity Name | Allina Health System |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1295272342 PECOS PAC ID: 4587573613 Enrollment ID: O20040319000460 |
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Entity Name | Carver County |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1326049685 PECOS PAC ID: 8527041961 Enrollment ID: O20040609000094 |
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Entity Name | Cultivating Family Services, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1578007969 PECOS PAC ID: 1557768991 Enrollment ID: O20210927003292 |
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Entity Name | Allina Health System |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1457657249 PECOS PAC ID: 4587573613 Enrollment ID: O20221213001713 |
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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 Kesha Green 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 Kesha Green, LMF, LICSW 3300 County Road 10, Suite 304i, Brooklyn Center, MN 55429-3072 Ph: (763) 355-5461 | Ms Kesha Green, LMF, LICSW 3300 County Road 10, Suite 304i, Brooklyn Center, MN 55429-3072 Ph: (763) 355-5461 |
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