Mrs Kokona Nissa Perry, LCSW in Staten Island, NY - Medicare Social Worker Provider

Mrs Kokona Nissa Perry, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Staten Island, New York. Her current practice location is 2795 Richmond Ave, Staten Island, New York. You can reach out to her office (for appointments etc.) via phone at (718) 761-9800.

Mrs Kokona Nissa Perry is licensed to practice in New York (license number 071613-1) 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 1447335583.

Contact Information

	Mrs Kokona Nissa Perry, LCSW
	2795 Richmond Ave, Staten Island, NY 10314-5857
	(718) 761-9800
	(718) 370-1142

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Kokona Nissa Perry
Gender	Female
Speciality	Social Worker - Clinical
Location	2795 Richmond Ave, Staten Island, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1447335583
Provider Enumeration Date: 10/26/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 1759474562
Enrollment ID: I20070911000151

Medical Identifiers

Medical identifiers for Mrs Kokona Nissa Perry such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447335583	NPI	-	NPPES
W22701	Other	NY	MAGELLAN
00071613	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	071613-1 (New York)	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. Mrs Kokona Nissa Perry allows following entities to bill medicare on her behalf.

Entity Name	Jewish Board Of Family & Childrens Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689755662 PECOS PAC ID: 5092607333 Enrollment ID: O20040330000048

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 Kokona Nissa Perry 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 Kokona Nissa Perry, LCSW 121 Aviston St, Staten Island, NY 10306-5315 Ph: (718) 761-9800	Mrs Kokona Nissa Perry, LCSW 2795 Richmond Ave, Staten Island, NY 10314-5857 Ph: (718) 761-9800

Reviews and Comments

Social Worker in Staten Island, NY

Michelle Louise Bosco, L.M.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 14 Slosson Ter, Staten Island, NY 10301 Phone: 718-720-6727 Fax: 718-720-0326
Mrs. Hollace Merrill Beer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 23 Grissom Ave, Staten Island, NY 10314 Phone: 718-698-6903
Mr. Edward S Wallach, LCSW, PH.D. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 673 Stewart Avenue, Staten Island, NY 10314 Phone: 718-698-1795 Fax: 718-698-9357
Mr. Frank Arthur Raimondo, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 290 Garretson Ave, Staten Island, NY 10305 Phone: 718-698-3222
Steven Scher, CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 82 Hart Blvd, Staten Island, NY 10301 Phone: 718-727-2901 Fax: 718-727-2901
Ms. Lisbeth Horn, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 201 Bryson Ave, Staten Island, NY 10314 Phone: 718-442-1636 Fax: 718-442-1636
Ms. Rosemarie Gaeta, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 416 Crown Ave, Staten Island, NY 10312 Phone: 718-356-8881 Fax: 718-356-1997

Mrs Kokona Nissa Perry, LCSW - Medicare Clinical Social Worker in Staten Island, NY