Kyndra Nicole Scott, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Pasco, Washington. Her current practice location is
824 W Lewis St Ste 110, Pasco, Washington. You can reach out to her office (for appointments etc.) via phone at
(509) 308-4389.
Kyndra Nicole Scott is licensed to practice in Washington (license number LW60988628) 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 1275933749.
Healthcare Provider's Profile
| Full Name | Kyndra Nicole Scott |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 824 W Lewis St Ste 110, Pasco, Washington |
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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: 1275933749
- Provider Enumeration Date: 09/03/2014
- Last Update Date: 04/25/2025
Medicare PECOS Information:
- PECOS PAC ID: 4880020304
- Enrollment ID: I20200131002055
Medical Identifiers
Medical identifiers for Kyndra Nicole Scott such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1275933749 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 00211-LC (Nevada) | Secondary |
| 1041C0700X | Social Worker - Clinical | IC-1055 (Nevada) | Secondary |
| 1041C0700X | Social Worker - Clinical | 8237-C (Nevada) | Secondary |
| 225400000X | Rehabilitation Practitioner | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | LW60988628 (Washington) | 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. Kyndra Nicole Scott allows following entities to bill medicare on her behalf.
| Entity Name | Mindful Therapy Group Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1316238678
PECOS PAC ID: 4981872561
Enrollment ID: O20110726000730 |
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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. Kyndra Nicole Scott 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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Kyndra Nicole Scott, LCSW
824 W Lewis St Ste 110,
Pasco, WA 99301-5561
Ph: (509) 308-4389 | Kyndra Nicole Scott, LCSW
824 W Lewis St Ste 110,
Pasco, WA 99301-5561
Ph: (509) 308-4389 |
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