Kenjarvis Cross, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Blytheville, Arkansas. He graduated from medical school in 2016 and has 8 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Arisa Health Inc and his current practice location is
209 S Lockard St, Blytheville, Arkansas. You can reach out to his office (for appointments etc.) via phone at
(870) 763-2139.
Kenjarvis Cross is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1184078875.
Healthcare Provider's Profile
| Full Name | Kenjarvis Cross |
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| Gender | Male |
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| Speciality | Clinical Social Worker |
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| Experience | 8 Years |
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| Location | 209 S Lockard St, Blytheville, Arkansas |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kenjarvis Cross graduated from medical school in 2016
NPI Data:
- NPI Number: 1184078875
- Provider Enumeration Date: 04/19/2016
- Last Update Date: 08/02/2022
Medicare PECOS Information:
- PECOS PAC ID: 2163805714
- Enrollment ID: I20220816000280
Medical Identifiers
Medical identifiers for Kenjarvis Cross such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1184078875 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Arisa Health Inc | 2264853829 | 46 |
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. Kenjarvis Cross allows following entities to bill medicare on his behalf.
| Entity Name | Northeast Arkansas Community Mental Health Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1336118207
PECOS PAC ID: 0244130839
Enrollment ID: O20040110000206 |
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| Entity Name | Arisa Health Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1437750411
PECOS PAC ID: 2264853829
Enrollment ID: O20230508000555 |
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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. Kenjarvis Cross 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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Kenjarvis Cross, LCSW
209 S Lockard St,
Blytheville, AR 72315-2541
Ph: (870) 763-2139 | Kenjarvis Cross, LCSW
209 S Lockard St,
Blytheville, AR 72315-2541
Ph: (870) 763-2139 |
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