Fred David Dodge, LCSW in Meridian, ID - Medicare Social Worker Provider

Fred David Dodge, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Meridian, Idaho. His current practice location is 2650 S Eagle Rd, Meridian, Idaho. You can reach out to his office (for appointments etc.) via phone at (986) 200-4290.

Fred David Dodge is licensed to practice in Idaho (license number LCSW-40095) 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 1669117438.

Contact Information

	Fred David Dodge, LCSW
	2650 S Eagle Rd, Meridian, ID 83642-6725
	(986) 200-4290
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Fred David Dodge
Gender	Male
Speciality	Social Worker - Clinical
Location	2650 S Eagle Rd, Meridian, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1669117438
Provider Enumeration Date: 05/04/2022
Last Update Date: 05/04/2022

Medicare PECOS Information:

PECOS PAC ID: 5698159994
Enrollment ID: I20220906002551

Medical Identifiers

Medical identifiers for Fred David Dodge such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669117438	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LCSW-40095 (Idaho)	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. Fred David Dodge allows following entities to bill medicare on his behalf.

Entity Name	Idaho Tms
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841857513 PECOS PAC ID: 5698100840 Enrollment ID: O20200115002240

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. Fred David Dodge 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
Fred David Dodge, LCSW 2725 Via Valdarno, Pocatello, ID 83201-5830 Ph: (512) 630-5140	Fred David Dodge, LCSW 2650 S Eagle Rd, Meridian, ID 83642-6725 Ph: (986) 200-4290

Reviews and Comments

Social Worker in Meridian, ID

Lisa Melendy, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 82 S Baltic Pl, Meridian, ID 83642 Phone: 732-272-8187
Gary W Lee, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1965 S Eagle Rd, Ste 140, Meridian, ID 83642 Phone: 208-957-6514 Fax: 208-957-6506
Jennifer Ann La Jeunesse, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 520 S Eagle Rd Ste 2106, Meridian, ID 83642 Phone: 208-706-5775 Fax: 208-706-5777
Lysandra C Scott, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3023 E Copper Point Dr Ste 108, Meridian, ID 83642 Phone: 208-914-8924
Melissa Marquez, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1550 N Crestmont Dr, Meridian, ID 83642 Phone: 208-288-4200 Fax: 208-529-4676
Jennifer Fish, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1533 W Rainbow Trout St, Meridian, ID 83642 Phone: 208-559-7654
Ms. Lesa Marie Breding, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 5155 S Hillsdale Ave, Meridian, ID 83642 Phone: 208-706-9710

Fred David Dodge, LCSW - Medicare Clinical Social Worker in Meridian, ID