Mrs Lisa A Kennedy, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Little Rock Afb, Arkansas. She graduated from healthcare school in 2006 and has 19 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Brightside Medical Of Michigan Pc and her current practice location is
1090 Arnold Dr, Little Rock Afb, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(501) 987-7377.
Mrs Lisa A Kennedy is licensed to practice in Arkansas (license number 2461-C) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1649571183.
Healthcare Provider's Profile
| Full Name | Mrs Lisa A Kennedy |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 19 Years |
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| Location | 1090 Arnold Dr, Little Rock Afb, Arkansas |
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| Accepts Medicare Assignments | Yes. She 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:
- Mrs Lisa A Kennedy graduated from medical school in 2006
NPI Data:
- NPI Number: 1649571183
- Provider Enumeration Date: 11/16/2010
- Last Update Date: 07/19/2022
Medicare PECOS Information:
- PECOS PAC ID: 3476859422
- Enrollment ID: I20240829002584
Medical Identifiers
Medical identifiers for Mrs Lisa A Kennedy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1649571183 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | 2461-C (Arkansas) | Secondary |
| 106H00000X | Marriage & Family Therapist | 2461-C (Arkansas) | Secondary |
| 1041C0700X | Social Worker - Clinical | 2461-C (Arkansas) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Brightside Medical Of Michigan Pc | 9830562776 | 77 |
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 Lisa A Kennedy allows following entities to bill medicare on her behalf.
| Entity Name | Brightside Medical Of Michigan Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1144800350
PECOS PAC ID: 9830562776
Enrollment ID: O20230821000585 |
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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. Mrs Lisa A 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 Lisa A Kennedy, LCSW
1090 Arnold Dr,
Little Rock Afb, AR 72099-4933
Ph: (501) 987-7377 | Mrs Lisa A Kennedy, LCSW
1090 Arnold Dr,
Little Rock Afb, AR 72099-4933
Ph: (501) 987-7377 |
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