Kisha Choice, LCSW, CAP is a medicare enrolled "Social Worker - Clinical" provider in Temple Terr, Florida. Her current practice location is
13377 N 56th St, Temple Terr, Florida. You can reach out to her office (for appointments etc.) via phone at
(813) 270-5225.
Kisha Choice is licensed to practice in Florida (license number SW13910) 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 1174189872.
Healthcare Provider's Profile
| Full Name | Kisha Choice |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 13377 N 56th St, Temple Terr, Florida |
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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: 1174189872
- Provider Enumeration Date: 05/17/2019
- Last Update Date: 09/18/2020
Medicare PECOS Information:
- PECOS PAC ID: 6002293495
- Enrollment ID: I20220525001054
Medical Identifiers
Medical identifiers for Kisha Choice such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174189872 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1041C0700X | Social Worker - Clinical | SW13910 (Florida) | 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. Kisha Choice allows following entities to bill medicare on her behalf.
| Entity Name | First Choice Counseling & Wellness Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1639729650
PECOS PAC ID: 5193102580
Enrollment ID: O20220525000875 |
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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. Kisha Choice 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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Kisha Choice, LCSW, CAP
13377 N 56th St,
Temple Terr, FL 33617-1161
Ph: (181) 270-5225 | Kisha Choice, LCSW, CAP
13377 N 56th St,
Temple Terr, FL 33617-1161
Ph: (813) 270-5225 |
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