Brent Clemenz, in Lafayette, IN - Medicare Social Worker Provider

Brent Clemenz, is a medicare enrolled "Social Worker - Clinical" provider in Lafayette, Indiana. His current practice location is 670 N 36th St, Lafayette, Indiana. You can reach out to his office (for appointments etc.) via phone at (765) 446-8412.

Brent Clemenz is licensed to practice in Indiana (license number 34005245A) 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 1710003363.

Contact Information

	Brent Clemenz,
	670 N 36th St, Lafayette, IN 47905-4474
	(765) 446-8412
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Brent Clemenz
Gender	Male
Speciality	Social Worker - Clinical
Location	670 N 36th St, Lafayette, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710003363
Provider Enumeration Date: 03/22/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 0941395032
Enrollment ID: I20071004000317

Medical Identifiers

Medical identifiers for Brent Clemenz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710003363	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	34005245A (Indiana)	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. Brent Clemenz allows following entities to bill medicare on his behalf.

Entity Name	Valley Oaks Health Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689629990 PECOS PAC ID: 7315927563 Enrollment ID: O20040720001286

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. Brent Clemenz 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
Brent Clemenz, 917 King St, Lafayette, IN 47905-1821 Ph: () -	Brent Clemenz, 670 N 36th St, Lafayette, IN 47905-4474 Ph: (765) 446-8412

Reviews and Comments

Social Worker in Lafayette, IN

Carol F Cook, LCSW,MSW,ACSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3660 Rome Dr, Lafayette, IN 47905 Phone: 765-446-9394 Fax: 765-447-8875
Mr. Randall Alan Pickering, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1116 N 16th St, Lafayette, IN 47904 Phone: 765-423-6300 Fax: 765-423-6301
Soledad Kardinsmith, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 115 Farabee Dr N, Suite C, Lafayette, IN 47905 Phone: 765-588-7763 Fax: 765-423-5600
Tasha Denise Snyder, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1716 Hartford St, Lafayette, IN 47904 Phone: 765-742-1567 Fax: 765-742-2750
Delthea J Hill, PHD Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 427 N 6th St, Lafayette, IN 47901 Phone: 765-420-0938 Fax: 765-420-8218
Karen Edwards, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 610 Main St, Lafayette, IN 47901 Phone: 765-423-2638
Ms. Theresa Anne Slayton, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 656a N 36th St, Lafayette, IN 47905 Phone: 765-449-1759 Fax: 765-449-1769

Brent Clemenz, - Medicare Clinical Social Worker in Lafayette, IN