Colleen Wetherwax, LISW in Chardon, OH - Medicare Social Worker Provider

Colleen Wetherwax, LISW is a medicare enrolled "Social Worker - Clinical" provider in Chardon, Ohio. Her current practice location is 13300 Aquilla Rd, Chardon, Ohio. You can reach out to her office (for appointments etc.) via phone at (440) 279-2090.

Colleen Wetherwax is licensed to practice in Ohio (license number I2002109) 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 1669820734.

Contact Information

	Colleen Wetherwax, LISW
	13300 Aquilla Rd, Chardon, OH 44024-7944
	(440) 279-2090
	(440) 285-2574

Map and Direction

Healthcare Provider's Profile

Full Name	Colleen Wetherwax
Gender	Female
Speciality	Social Worker - Clinical
Location	13300 Aquilla Rd, Chardon, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1669820734
Provider Enumeration Date: 05/31/2016
Last Update Date: 05/22/2020

Medicare PECOS Information:

PECOS PAC ID: 7618398629
Enrollment ID: I20200529001892

Medical Identifiers

Medical identifiers for Colleen Wetherwax such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669820734	NPI	-	NPPES
0265005	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	I2002109 (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. Colleen Wetherwax allows following entities to bill medicare on her behalf.

Entity Name	Ravenwood Mental Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730356296 PECOS PAC ID: 6901813922 Enrollment ID: O20060316000394

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. Colleen Wetherwax 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
Colleen Wetherwax, LISW 12557 Ravenwood Dr, Chardon, OH 44024-9009 Ph: (440) 285-3568	Colleen Wetherwax, LISW 13300 Aquilla Rd, Chardon, OH 44024-7944 Ph: (440) 279-2090

Reviews and Comments

Social Worker in Chardon, OH

Lauren Anne Plott, LISW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 13300 Aquilla Rd, Chardon, OH 44024 Phone: 440-279-2096
Ms. Jennifer G Lacortiglia, LISW S Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 11575 Lower Chelsea Dr, Chardon, OH 44024 Phone: 440-212-4278
Latia E Phillips-bey, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 695 South St Ste 6, Chardon, OH 44024 Phone: 216-970-7972
Rebecca Petrey, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 695 South St Ste 6, Chardon, OH 44024 Phone: 440-286-1553
Miss Lyle J. Morris, LISW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 12557 Ravenwood Dr, Chardon, OH 44024 Phone: 440-285-3568
Brooke-marie Noscal, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 695 South St Ste 6, Chardon, OH 44024 Phone: 440-286-1553
Amanda Marie Love, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 12557 Ravenwood Dr, Chardon, OH 44024 Phone: 440-285-3568 Fax: 440-285-4552

Colleen Wetherwax, LISW - Medicare Clinical Social Worker in Chardon, OH