Leah Davis Keval, LCSW is a medicare enrolled "Social Worker - Clinical" provider in West Allis, Wisconsin. Her current practice location is
1126 S 70th St Ste 112-3, West Allis, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(414) 727-2789.
Leah Davis Keval is licensed to practice in Wisconsin (license number 8817-123) 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 1285037192.
Healthcare Provider's Profile
| Full Name | Leah Davis Keval |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 1126 S 70th St Ste 112-3, West Allis, Wisconsin |
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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: 1285037192
- Provider Enumeration Date: 10/06/2014
- Last Update Date: 03/17/2018
Medicare PECOS Information:
- PECOS PAC ID: 8820353394
- Enrollment ID: I20180604002073
Medical Identifiers
Medical identifiers for Leah Davis Keval such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1285037192 | NPI | - | NPPES |
| 8817-123 | Other | WI | WISCONSIN DEPARTMENT OF SAFETY AND PROFESSIONAL SERVICES |
| 8817-123 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | ACD.0000769 (Colorado) | Secondary |
| 104100000X | Social Worker | 00009920539 (Colorado) | Secondary |
| 1041C0700X | Social Worker - Clinical | CSW.09924533 (Colorado) | Secondary |
| 1041C0700X | Social Worker - Clinical | 8817-123 (Wisconsin) | 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. Leah Davis Keval allows following entities to bill medicare on her behalf.
| Entity Name | Professional Services Group Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1619024262
PECOS PAC ID: 8224296454
Enrollment ID: O20120220000742 |
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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. Leah Davis Keval 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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Leah Davis Keval, LCSW
2416 Deerfield Ct,
Saukville, WI 53080-2438
Ph: (414) 534-2783 | Leah Davis Keval, LCSW
1126 S 70th St Ste 112-3,
West Allis, WI 53214-3124
Ph: (414) 727-2789 |
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