Keonna Moffett, LICSW - Medicare Clinical Social Worker in Renton, WA

Keonna Moffett, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Renton, Washington. Her current practice location is 2715 Naches Ave Sw, Renton, Washington. You can reach out to her office (for appointments etc.) via phone at (206) 630-1680.

Keonna Moffett is licensed to practice in Washington (license number LW60608715) 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 1871197814.

Contact Information

Keonna Moffett, LICSW
2715 Naches Ave Sw,
Renton, WA 98057-2627
(206) 630-1680
(206) 630-1601

Map and Direction




Healthcare Provider's Profile

Full NameKeonna Moffett
GenderFemale
SpecialitySocial Worker - Clinical
Location2715 Naches Ave Sw, Renton, Washington
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1871197814
  • Provider Enumeration Date: 11/30/2020
  • Last Update Date: 04/15/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4688088214
  • Enrollment ID: I20210122000833

Medical Identifiers

Medical identifiers for Keonna Moffett such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871197814NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical LW60608715 (Washington)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. Keonna Moffett allows following entities to bill medicare on her behalf.
Entity NameKaiser Foundation Health Plan Of Washington
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396810701
PECOS PAC ID: 9032022579
Enrollment ID: O20031112000454

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. Keonna Moffett 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 AddressPractice Location Address
Keonna Moffett, LICSW
4302 S 122nd St,
Tukwila, WA 98178-3437

Ph: (206) 725-0924
Keonna Moffett, LICSW
2715 Naches Ave Sw,
Renton, WA 98057-2627

Ph: (206) 630-1680

Reviews and Comments


Social Worker in Renton, WA

Mr. Mark Kekoa Casey, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 220 S. 3rd Place, Renton, WA 98057
Phone: 425-228-0074    
Ms. Larraine Jo-anne Lynch, M.S.W., L.I.C.S.W.
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 200 Mill Ave S Ste 10, Renton, WA 98057
Phone: 425-282-0339    Fax: 425-282-0939
Laura Lynn Myer,
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 1200 Sw 27th St, Renton, WA 98057
Phone: 425-235-2800    Fax: 877-516-9184
Michael Damon, MSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1850 Grant Ave S, E3, Renton, WA 98055
Phone: 206-972-9545    
Anthony G Ensey,
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 419 S 2nd St Ste 2, Renton, WA 98057
Phone: 425-203-7201    
Courtney Elizabeth Campbell, M.S.W.
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 275 Bronson Way Ne, Renton, WA 98056
Phone: 425-235-2800    Fax: 425-235-2815
Amal Abdulrahman,
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 14815 200th Ave Se, Renton, WA 98059
Phone: 206-612-4819    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.