Kaitlin Forth Hirth, MSW, LISW-S is a medicare enrolled "Social Worker - Clinical" provider in Gambier, Ohio. Her current practice location is
21740 Deal Rd, Gambier, Ohio. You can reach out to her office (for appointments etc.) via phone at
(740) 322-3652.
Kaitlin Forth Hirth is licensed to practice in Ohio (license number I.2204086-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 1952816258.
Healthcare Provider's Profile
Full Name | Kaitlin Forth Hirth |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 21740 Deal Rd, Gambier, Ohio |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1952816258
- Provider Enumeration Date: 12/08/2017
- Last Update Date: 03/12/2024
Medicare PECOS Information:
- PECOS PAC ID: 8123477619
- Enrollment ID: I20231208002608
Medical Identifiers
Medical identifiers for Kaitlin Forth Hirth such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1952816258 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | LICSW127548 (Massachusetts) | Secondary |
1041C0700X | Social Worker - Clinical | I.2204086-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. Kaitlin Forth Hirth allows following entities to bill medicare on her behalf.
Entity Name | Behavioral Healthcare Partners Of Central Ohio Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1063479079 PECOS PAC ID: 3971499385 Enrollment ID: O20040224000274 |
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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. Kaitlin Forth Hirth 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 |
Kaitlin Forth Hirth, MSW, LISW-S 21740 Deal Rd, Gambier, OH 43022-9739 Ph: (740) 322-3652 | Kaitlin Forth Hirth, MSW, LISW-S 21740 Deal Rd, Gambier, OH 43022-9739 Ph: (740) 322-3652 |
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