Christine A Dyer, LISW-S is a medicare enrolled "Social Worker - Clinical" provider in Louisville, Ohio. Her current practice location is
1302 W Main St Ste A, Louisville, Ohio. You can reach out to her office (for appointments etc.) via phone at
(330) 875-5544.
Christine A Dyer is licensed to practice in Ohio (license number 1.0030945-SUPV) 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 1639121668.
Healthcare Provider's Profile
| Full Name | Christine A Dyer |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 1302 W Main St Ste A, Louisville, Ohio |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1639121668
- Provider Enumeration Date: 05/17/2006
- Last Update Date: 11/25/2020
Medicare PECOS Information:
- PECOS PAC ID: 6800040361
- Enrollment ID: I20130208000298
Medical Identifiers
Medical identifiers for Christine A Dyer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1639121668 | NPI | - | NPPES |
| 0183464 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | I.0030945 (Ohio) | Secondary |
| 1041C0700X | Social Worker - Clinical | 1.0030945-SUPV (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. Christine A Dyer allows following entities to bill medicare on her behalf.
| Entity Name | Sondermind Provider Network Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1760854442
PECOS PAC ID: 9537572490
Enrollment ID: O20210316002509 |
|---|
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. Christine A Dyer 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 |
|---|
Christine A Dyer, LISW-S
625 Cleveland Ave Nw,
Canton, OH 44702-1805
Ph: (330) 453-8252 | Christine A Dyer, LISW-S
1302 W Main St Ste A,
Louisville, OH 44641-1114
Ph: (330) 875-5544 |
Reviews and Comments