Mr Keith Poche, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Roanoke Rapids, North Carolina. He graduated from healthcare school in 2010 and has 16 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Arthur Fenner Outreach Center Llc and his current practice location is
608 Jackson St Ste 212, Roanoke Rapids, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(919) 200-5217.
Mr Keith Poche is licensed to practice in North Carolina (license number C010128) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1518025956.
Healthcare Provider's Profile
| Full Name | Mr Keith Poche |
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| Gender | Male |
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| Speciality | Clinical Social Worker |
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| Experience | 16 Years |
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| Location | 608 Jackson St Ste 212, Roanoke Rapids, North Carolina |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Keith Poche graduated from medical school in 2010
NPI Data:
- NPI Number: 1518025956
- Provider Enumeration Date: 12/05/2006
- Last Update Date: 11/03/2025
Medicare PECOS Information:
- PECOS PAC ID: 4880987148
- Enrollment ID: I20160725000256
Medical Identifiers
Medical identifiers for Mr Keith Poche such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1518025956 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LCAS-22976 (North Carolina) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 0718000684 (Virginia) | Secondary |
| 1041C0700X | Social Worker - Clinical | 0904010643 (Virginia) | Secondary |
| 1041C0700X | Social Worker - Clinical | (NU) | Secondary |
| 1041C0700X | Social Worker - Clinical | C010128 (North Carolina) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Arthur Fenner Outreach Center Llc | 5294105292 | 2 |
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. Mr Keith Poche allows following entities to bill medicare on his behalf.
| Entity Name | Grow Healthcare Group PA |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245845932
PECOS PAC ID: 3476961368
Enrollment ID: O20221208000188 |
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| Entity Name | Arthur Fenner Outreach Center LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1144947235
PECOS PAC ID: 5294105292
Enrollment ID: O20230109002620 |
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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. Mr Keith Poche 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 |
|---|
Mr Keith Poche, LCSW
608 Jackson St Ste 212,
Roanoke Rapids, NC 27870-2600
Ph: (919) 200-5217 | Mr Keith Poche, LCSW
608 Jackson St Ste 212,
Roanoke Rapids, NC 27870-2600
Ph: (919) 200-5217 |
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