Mr James Derosa, LISW in Toledo, OH - Medicare Social Worker Provider

Mr James Derosa, LISW is a medicare enrolled "Social Worker - Clinical" provider in Toledo, Ohio. His current practice location is 3454 Oak Alley Ct, Suite 305, Toledo, Ohio. You can reach out to his office (for appointments etc.) via phone at (419) 534-2468.

Mr James Derosa is licensed to practice in Ohio (license number I 7195) 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 1104033562.

Contact Information

	Mr James Derosa, LISW
	3454 Oak Alley Ct, Suite 305, Toledo, OH 43606-1306
	(419) 534-2468
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr James Derosa
Gender	Male
Speciality	Social Worker - Clinical
Location	3454 Oak Alley Ct, Toledo, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104033562
Provider Enumeration Date: 05/16/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 8921386657
Enrollment ID: I20161031001233

Medical Identifiers

Medical identifiers for Mr James Derosa such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104033562	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	I 7195 (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. Mr James Derosa allows following entities to bill medicare on his behalf.

Entity Name	Prohealth Physician Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912208729 PECOS PAC ID: 3577749993 Enrollment ID: O20110519000839

Entity Name	Sondermind Provider Network Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210316002509

Entity Name	Careline Poh100 Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306414826 PECOS PAC ID: 7012395965 Enrollment ID: O20220604000359

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. Mr James Derosa 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
Mr James Derosa, LISW 3454 Oak Alley Ct, Suite 305, Toledo, OH 43606-1306 Ph: (419) 534-2468	Mr James Derosa, LISW 3454 Oak Alley Ct, Suite 305, Toledo, OH 43606-1306 Ph: (419) 534-2468

Reviews and Comments

Social Worker in Toledo, OH

Karen C. Fritts, L.I.S.W. Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 5151 Monroe St, #200, Toledo, OH 43623 Phone: 419-475-4449 Fax: 419-479-3832
Stephanie Cafarelli Doran, MSW, LISW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3454 Oak Alley Ct Ste 504, Toledo, OH 43606 Phone: 419-318-8533
Mrs. Doreen Michelle Pant, LISW-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3335 Meijer Dr, Suite #450, Toledo, OH 43617 Phone: 419-467-6361 Fax: 419-671-8026
Lea Rosenberg, MSW, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1425 Starr Ave, Toledo, OH 43605 Phone: 419-693-0631 Fax: 419-936-7606
Nicholas E Mueser, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3909 Woodley Rd, Toledo, OH 43606 Phone: 419-725-3330
Mark P Gorey, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1776 Tremainsville Rd, Toledo, OH 43613 Phone: 419-214-0606
Asha Pearson, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5164 Monroe St, Toledo, OH 43623 Phone: 419-720-9586

Mr James Derosa, LISW - Medicare Clinical Social Worker in Toledo, OH