Kenatta Bethea, PMHNP-BC in South Boston, VA - Medicare Nurse Practitioner

Kenatta Bethea, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in South Boston, Virginia. Her current practice location is 424 Hamilton Blvd, South Boston, Virginia. You can reach out to her office (for appointments etc.) via phone at (434) 572-2936.

Kenatta Bethea is licensed to practice in Virginia (license number 0024180834) 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 1376133496.

Contact Information

	Kenatta Bethea, PMHNP-BC
	424 Hamilton Blvd, South Boston, VA 24592-5200
	(434) 572-2936
	(434) 572-4665

Map and Direction

Provider's Profile

Full Name	Kenatta Bethea
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	424 Hamilton Blvd, South Boston, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376133496
Provider Enumeration Date: 01/22/2021
Last Update Date: 05/21/2026

Medicare PECOS Information:

PECOS PAC ID: 6305253337
Enrollment ID: I20210318001577

Medical Identifiers

Medical identifiers for Kenatta Bethea such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376133496	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	0024180834 (Virginia)	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. Kenatta Bethea allows following entities to bill medicare on her behalf.

Entity Name	Childrens Specialty Group Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255354130 PECOS PAC ID: 5890788764 Enrollment ID: O20040406001195

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. Kenatta Bethea 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
Kenatta Bethea, PMHNP-BC 3897 Bridge Rd Ste 104, Suffolk, VA 23435-1911 Ph: (757) 654-4342	Kenatta Bethea, PMHNP-BC 424 Hamilton Blvd, South Boston, VA 24592-5200 Ph: (434) 572-2936

Reviews and Comments

Nurse Practitioner Nurses in South Boston, VA

Debra A Collins, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2232 Wilborn Ave Ste G, South Boston, VA 24592 Phone: 434-517-8140
Whitney Heather Rae Holley, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Aubreys Loop, South Boston, VA 24592 Phone: 434-517-3879 Fax: 434-517-3989
Amanda Igata, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Aubreys Loop, South Boston, VA 24592 Phone: 434-517-3879
Jon M Hughes, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2204 Wilborn Ave, South Boston, VA 24592 Phone: 434-517-3100
Mrs. Michelle Bender Gibson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2232 Wilborn Ave, Suite D, Hematology Oncology Practice Of Southside Va, Pc, South Boston, VA 24592 Phone: 434-575-1212 Fax: 434-575-1130
Carrie Lawrence, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2045 Hamilton Blvd, South Boston, VA 24592 Phone: 434-572-6565
Maurice J Roberts, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3601 Old Halifax Rd Ste 100, South Boston, VA 24592 Phone: 757-984-6140 Fax: 833-491-4954

Kenatta Bethea, PMHNP-BC - Medicare Nurse Practitioner in South Boston, VA