Mrs Kasandra Kennedy, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Heppner, Oregon. Her current practice location is
550 W. Sperry Street, Heppner, Oregon. You can reach out to her office (for appointments etc.) via phone at
(541) 676-9161.
Mrs Kasandra Kennedy is licensed to practice in Oregon (license number L7864) 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 1053749630.
Healthcare Provider's Profile
Full Name | Mrs Kasandra Kennedy |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 550 W. Sperry Street, Heppner, Oregon |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1053749630
- Provider Enumeration Date: 10/17/2013
- Last Update Date: 01/17/2019
Medicare PECOS Information:
- PECOS PAC ID: 9638572803
- Enrollment ID: I20210726001790
Medical Identifiers
Medical identifiers for Mrs Kasandra Kennedy such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053749630 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | L7864 (Oregon) | Primary |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
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. Mrs Kasandra Kennedy 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 |
Mrs Kasandra Kennedy, LCSW Po Box 469, Heppner, OR 97836-0469 Ph: (541) 676-9161 | Mrs Kasandra Kennedy, LCSW 550 W. Sperry Street, Heppner, OR 97836 Ph: (541) 676-9161 |
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