Mrs Jordan Nicole Thepsourinthone, LISW in Toledo, OH

Mrs Jordan Nicole Thepsourinthone, LISW is a medicare enrolled "Social Worker - Clinical" provider in Toledo, Ohio. Her current practice location is 2121 Hughes Dr Ste 640, Toledo, Ohio. You can reach out to her office (for appointments etc.) via phone at (419) 291-3960.

Mrs Jordan Nicole Thepsourinthone is licensed to practice in Ohio (license number I.2304664) 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 1568145308.

Contact Information

	Mrs Jordan Nicole Thepsourinthone, LISW
	2121 Hughes Dr Ste 640, Toledo, OH 43606-5131
	(419) 291-3960
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Jordan Nicole Thepsourinthone
Gender	Female
Speciality	Social Worker - Clinical
Location	2121 Hughes Dr Ste 640, 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: 1568145308
Provider Enumeration Date: 08/09/2023
Last Update Date: 08/09/2023

Medicare PECOS Information:

PECOS PAC ID: 9638519051
Enrollment ID: I20240502002482

Medical Identifiers

Medical identifiers for Mrs Jordan Nicole Thepsourinthone such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568145308	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	I.2304664 (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. Mrs Jordan Nicole Thepsourinthone allows following entities to bill medicare on her behalf.

Entity Name	Promedica Central Physicians, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245444959 PECOS PAC ID: 6709975345 Enrollment ID: O20071204000485

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. Mrs Jordan Nicole Thepsourinthone 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
Mrs Jordan Nicole Thepsourinthone, LISW 516 Brodywood Dr, Toledo, OH 43615-4584 Ph: (419) 215-7762	Mrs Jordan Nicole Thepsourinthone, LISW 2121 Hughes Dr Ste 640, Toledo, OH 43606-5131 Ph: (419) 291-3960

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

Mrs Jordan Nicole Thepsourinthone, LISW - Medicare Clinical Social Worker in Toledo, OH