Ami E Wallace-benning, LISW in Dayton, OH - Medicare Social Worker Provider

Ami E Wallace-benning, LISW is a medicare enrolled "Social Worker - Clinical" provider in Dayton, Ohio. Her current practice location is 3331 Stanley Ave Ste A, Dayton, Ohio. You can reach out to her office (for appointments etc.) via phone at (937) 203-0975.

Ami E Wallace-benning is licensed to practice in Ohio (license number I.1600177) 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 1790239390.

Contact Information

	Ami E Wallace-benning, LISW
	3331 Stanley Ave Ste A, Dayton, OH 45404-2022
	(937) 203-0975
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ami E Wallace-benning
Gender	Female
Speciality	Social Worker - Clinical
Location	3331 Stanley Ave Ste A, Dayton, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790239390
Provider Enumeration Date: 08/11/2016
Last Update Date: 07/15/2022

Medicare PECOS Information:

PECOS PAC ID: 7315325164
Enrollment ID: I20220607000940

Medical Identifiers

Medical identifiers for Ami E Wallace-benning such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790239390	NPI	-	NPPES
0183087	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	I.1600177 (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. Ami E Wallace-benning allows following entities to bill medicare on her behalf.

Entity Name	Wellness With Ami Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891438313 PECOS PAC ID: 6507244357 Enrollment ID: O20220607000879

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. Ami E Wallace-benning 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
Ami E Wallace-benning, LISW Po Box 549, Dayton, OH 45404-0549 Ph: (937) 203-0975	Ami E Wallace-benning, LISW 3331 Stanley Ave Ste A, Dayton, OH 45404-2022 Ph: (937) 203-0975

Reviews and Comments

Social Worker in Dayton, OH

Carrie Cook Latt, LISW-S Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1010 Valley St, Dayton, OH 45404 Phone: 937-641-3401 Fax: 937-641-3046
Elizabeth Dawn Morgan, MSW, LISW-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 289 Hilltop Dr, Dayton, OH 45415 Phone: 513-407-2944
Ms. Mawausi Ssabah Arraheem, MSW, CSW, LICDC,LPN Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4100 W 3rd St, Dayton, OH 45428 Phone: 937-268-6511
Holly T Lefevre, MSSA, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1 Childrens Plz, Dayton, OH 45404 Phone: 937-641-5300 Fax: 937-641-5134
Lacey Walker, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1785 Big Hill Rd, Dayton, OH 45439 Phone: 937-264-0084
Nicholle Megan Bair, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4100 W 3rd St, Building 410, Dayton, OH 45428 Phone: 937-268-6511
Stephanie Ann Bricker, LISW-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4100 W 3rd St, Dayton, OH 45428 Phone: 937-268-6511

Ami E Wallace-benning, LISW - Medicare Clinical Social Worker in Dayton, OH