Deborah Dillard-stark, LCSW in Columbus, IN - Medicare Social Worker Provider

Deborah Dillard-stark, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Columbus, Indiana. Her current practice location is 720 N Marr Rd, Columbus, Indiana. You can reach out to her office (for appointments etc.) via phone at (812) 314-3400.

Deborah Dillard-stark is licensed to practice in Indiana (license number 34001484A) 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 1336110758.

Contact Information

	Deborah Dillard-stark, LCSW
	720 N Marr Rd, Columbus, IN 47201-6660
	(812) 314-3400
	(812) 376-4875

Map and Direction

Healthcare Provider's Profile

Full Name	Deborah Dillard-stark
Gender	Female
Speciality	Social Worker - Clinical
Location	720 N Marr Rd, Columbus, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336110758
Provider Enumeration Date: 02/01/2006
Last Update Date: 07/31/2023

Medicare PECOS Information:

PECOS PAC ID: 0143377986
Enrollment ID: I20090413000344

Medical Identifiers

Medical identifiers for Deborah Dillard-stark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336110758	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	34001484A (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. Deborah Dillard-stark allows following entities to bill medicare on her behalf.

Entity Name	Be Authentic Indy Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841901022 PECOS PAC ID: 7618341496 Enrollment ID: O20230317000399

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. Deborah Dillard-stark 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
Deborah Dillard-stark, LCSW 645 S Rogers St, Bloomington, IN 47403-2353 Ph: (812) 339-1691	Deborah Dillard-stark, LCSW 720 N Marr Rd, Columbus, IN 47201-6660 Ph: (812) 314-3400

Reviews and Comments

Social Worker in Columbus, IN

Marilyn Kerns, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2205 Central Ave, Columbus, IN 47201 Phone: 812-375-1041
Robin Knorr, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2520 California St Ste A, Columbus, IN 47201 Phone: 812-350-5664
Mary Louise Pruett, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 720 N Marr Rd, Columbus, IN 47201 Phone: 812-314-3400
Charlotte Barton Coombs, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1531 13th St Ste 2540, Columbus, IN 47201 Phone: 812-372-3745 Fax: 812-954-0888
Anne-marie Kirkland, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1531 13th St Ste 2540, Columbus, IN 47201 Phone: 812-372-3745 Fax: 812-954-0888
Dorothy Eileen Bennett, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2530 Sandcrest Blvd, Columbus, IN 47203 Phone: 812-372-3177 Fax: 812-372-3692
Karen L Morris, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 720 N Marr Rd, Columbus, IN 47201 Phone: 812-314-3400 Fax: 812-378-8367

Deborah Dillard-stark, LCSW - Medicare Clinical Social Worker in Columbus, IN