Alyce E Sopkovich, LISW-S is a medicare enrolled "Social Worker - Clinical" provider in Stony Ridge, Ohio. Her current practice location is
5734 Fremont Pike, Stony Ridge, Ohio. You can reach out to her office (for appointments etc.) via phone at
(419) 334-3869.
Alyce E Sopkovich is licensed to practice in Ohio (license number I.0900111-S) 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 1053705715.
Healthcare Provider's Profile
Full Name | Alyce E Sopkovich |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 5734 Fremont Pike, Stony Ridge, Ohio |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1053705715
- Provider Enumeration Date: 03/20/2015
- Last Update Date: 07/28/2021
Medicare PECOS Information:
- PECOS PAC ID: 3072821578
- Enrollment ID: I20151002001214
Medical Identifiers
Medical identifiers for Alyce E Sopkovich such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053705715 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | I.0900111-S (Ohio) | 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. Alyce E Sopkovich allows following entities to bill medicare on her behalf.
Entity Name | Community And Rural Health Services |
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Entity Type | Part B Supplier - Public Health/welfare Agency |
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Entity Identifiers | NPI Number: 1780683573 PECOS PAC ID: 5395733224 Enrollment ID: O20040430001263 |
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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. Alyce E Sopkovich 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 |
Alyce E Sopkovich, LISW-S 2221 Hayes Ave, Fremont, OH 43420-2632 Ph: (419) 334-8943 | Alyce E Sopkovich, LISW-S 5734 Fremont Pike, Stony Ridge, OH 43463-9507 Ph: (419) 334-3869 |
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