Lawrence S Dababneh, LLMSW is a medicare enrolled "Case Manager/care Coordinator" provider in Detroit, Michigan. His current practice location is
62 W 7 Mile Rd, Detroit, Michigan. You can reach out to his office (for appointments etc.) via phone at
(313) 893-6172.
Lawrence S Dababneh is licensed to practice in * (Not Available) (license number ) 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 1154718534.
Healthcare Provider's Profile
| Full Name | Lawrence S Dababneh |
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| Gender | Male |
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| Speciality | Case Manager/care Coordinator |
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| Location | 62 W 7 Mile Rd, Detroit, Michigan |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1154718534
- Provider Enumeration Date: 04/23/2015
- Last Update Date: 09/08/2020
Medicare PECOS Information:
- PECOS PAC ID: 6507236676
- Enrollment ID: I20230105002927
Medical Identifiers
Medical identifiers for Lawrence S Dababneh such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1154718534 | NPI | - | NPPES |
| 3434247 | Medicaid | MI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1041C0700X | Social Worker - Clinical | 6801107453 (Michigan) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | 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. Lawrence S Dababneh allows following entities to bill medicare on his behalf.
| Entity Name | Arab American And Chaldean Council |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1861673543
PECOS PAC ID: 2365401874
Enrollment ID: O20041008000669 |
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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. Lawrence S Dababneh 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 |
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Lawrence S Dababneh, LLMSW
62 W 7 Mile Rd,
Detroit, MI 48203-1967
Ph: (313) 893-6172 | Lawrence S Dababneh, LLMSW
62 W 7 Mile Rd,
Detroit, MI 48203-1967
Ph: (313) 893-6172 |
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