Kenisha Rotibi, - Medicare in Grand Prairie, TX

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Kenisha Rotibi, is a medicare enrolled "Case Manager/care Coordinator" provider in Grand Prairie, Texas. Her current practice location is 5963 Ridgeway Dr, Grand Prairie, Texas. You can reach out to her office (for appointments etc.) via phone at (972) 890-6101.

Kenisha Rotibi is licensed to practice in * (Not Available) (license number ) 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 1679029136.

Contact Information

Kenisha Rotibi,
5963 Ridgeway Dr,
Grand Prairie, TX 75052-0444
(972) 890-6101
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameKenisha Rotibi
GenderFemale
SpecialityCase Manager/care Coordinator
Location5963 Ridgeway Dr, Grand Prairie, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1679029136
  • Provider Enumeration Date: 08/25/2016
  • Last Update Date: 09/26/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1254629033
  • Enrollment ID: I20161011001306

Medical Identifiers

Medical identifiers for Kenisha Rotibi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679029136NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 55603 (Texas)Secondary
172V00000XCommunity Health Worker (* (Not Available))Secondary
251S00000XCommunity/behavioral Health (* (Not Available))Secondary
171M00000XCase Manager/care Coordinator (* (Not Available))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. Kenisha Rotibi allows following entities to bill medicare on her behalf.
Entity NameAlaniz Counseling And Behavioral Center Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811288731
PECOS PAC ID: 0648596924
Enrollment ID: O20150304000138
Entity NameTp-health Incorporated
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760047526
PECOS PAC ID: 4486089950
Enrollment ID: O20200113000090
Entity NameVictoria Behavioral Services Clinic Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376150839
PECOS PAC ID: 5193194983
Enrollment ID: O20221219000998
Entity NameRetrospective Wellness Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356199053
PECOS PAC ID: 8628517257
Enrollment ID: O20240828000309
Entity NameA Chosen Path Counseling And Consulting Services Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609639848
PECOS PAC ID: 5597288431
Enrollment ID: O20250401001358

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. Kenisha Rotibi 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
Kenisha Rotibi,
5963 Ridgeway Dr,
Grand Prairie, TX 75052-0444

Ph: () -		Kenisha Rotibi,
5963 Ridgeway Dr,
Grand Prairie, TX 75052-0444

Ph: (972) 890-6101

Reviews and Comments



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.