Nicholas Ivan Kendrick, LCSW - Medicare Clinical Social Worker in Riverside, RI

Nicholas Ivan Kendrick, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Riverside, Rhode Island. His current practice location is 1011 Veterans Memorial Pkwy, Riverside, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 432-1000.

Nicholas Ivan Kendrick is licensed to practice in Rhode Island (license number ISW03614) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1154762136.

Contact Information

Nicholas Ivan Kendrick, LCSW
1011 Veterans Memorial Pkwy,
Riverside, RI 02915-5061
(401) 432-1000
(401) 432-1500



Healthcare Provider's Profile

Full NameNicholas Ivan Kendrick
GenderMale
SpecialitySocial Worker - Clinical
Location1011 Veterans Memorial Pkwy, Riverside, Rhode Island
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1154762136
  • Provider Enumeration Date: 07/08/2013
  • Last Update Date: 12/20/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7113397985
  • Enrollment ID: I20230112001511

Medical Identifiers

Medical identifiers for Nicholas Ivan Kendrick such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154762136NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical ISW03614 (Rhode Island)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. Nicholas Ivan Kendrick allows following entities to bill medicare on his behalf.
Entity NameEmma Pendleton Bradley Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578768867
PECOS PAC ID: 3870527526
Enrollment ID: O20050921001082

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Entity NameLifespan Physician Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548506793
PECOS PAC ID: 2567455082
Enrollment ID: O20130528000089

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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. Nicholas Ivan Kendrick 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 AddressPractice Location Address
Nicholas Ivan Kendrick, LCSW
117 Ellenfield St Ste 101,
Providence, RI 02905-4541

Ph: () -
Nicholas Ivan Kendrick, LCSW
1011 Veterans Memorial Pkwy,
Riverside, RI 02915-5061

Ph: (401) 432-1000

News Archive

Massachusetts proposal to end fee-for-service could be national model

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NDA for BYDUREON: FDA issues complete response letter

Amylin Pharmaceuticals, Inc., Eli Lilly and Company and Alkermes, Inc. today announced that the U.S. Food and Drug Administration has issued a complete response letter regarding the New Drug Application for BYDUREON™ (exenatide for extended-release injectable suspension).

Read more News

› Verified 7 days ago


Social Worker in Riverside, RI

Mollie Burns, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1011 Veterans Memorial Pkwy, Riverside, RI 02915
Phone: 401-432-1000    
Mrs. Catherine Lynn Brown, MSW, LICSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 610 Wampanoag Trl, Riverside, RI 02915
Phone: 401-431-9870    Fax: 401-435-7486
Samantha Rose Kavanagh, Licsw,
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 501 Wampanoag Trl Unit 400, Riverside, RI 02915
Phone: 401-785-0040    
Lilliane Joan Murgo, LICSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1011 Veterans Memorial Pkwy, Riverside, RI 02915
Phone: 401-432-1000    
Jennifer W. Jencks, PH.D.
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 1011 Veterans Memorial Pkwy, Riverside, RI 02915
Phone: 401-432-1000    Fax: 401-432-1500
Ms. Kendra O Macamaux, LICSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1011 Veterans Memorial Pkwy, Riverside, RI 02915
Phone: 401-432-1000    Fax: 401-432-1500
Mica Hinga, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1011 Veterans Memorial Pkwy, Riverside, RI 02915
Phone: 185-554-3546    

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