Mrs Mary Therese Tanner, LISW in Fairfield, OH - Medicare Social Worker Provider

Mrs Mary Therese Tanner, LISW is a medicare enrolled "Social Worker - Clinical" provider in Fairfield, Ohio. Her current practice location is 1251 Nilles Rd Ste 5, Fairfield, Ohio. You can reach out to her office (for appointments etc.) via phone at (513) 939-0300.

Mrs Mary Therese Tanner is licensed to practice in Ohio (license number I1700193) 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 1538590641.

Contact Information

	Mrs Mary Therese Tanner, LISW
	1251 Nilles Rd Ste 5, Fairfield, OH 45014-7205
	(513) 939-0300
	(513) 939-0310

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Mary Therese Tanner
Gender	Female
Speciality	Social Worker - Clinical
Location	1251 Nilles Rd Ste 5, Fairfield, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1538590641
Provider Enumeration Date: 11/29/2013
Last Update Date: 09/10/2019

Medicare PECOS Information:

PECOS PAC ID: 8022443555
Enrollment ID: I20200110000948

Medical Identifiers

Medical identifiers for Mrs Mary Therese Tanner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538590641	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	0008173 (Iowa)	Secondary
1041C0700X	Social Worker - Clinical	I1700193 (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 Mary Therese Tanner allows following entities to bill medicare on her behalf.

Entity Name	Mindfully Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972702520 PECOS PAC ID: 3476606252 Enrollment ID: O20090727000253

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 Mary Therese Tanner 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 Mary Therese Tanner, LISW 1251 Nilles Rd Ste 5, Fairfield, OH 45014-7205 Ph: (513) 939-0300	Mrs Mary Therese Tanner, LISW 1251 Nilles Rd Ste 5, Fairfield, OH 45014-7205 Ph: (513) 939-0300

Reviews and Comments

Social Worker in Fairfield, OH

Charmaine Ann Wagner-bell, LISW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 6570 Sosna Dr, Fairfield, OH 45014 Phone: 513-942-3181 Fax: 513-881-7183
Laura Holmes, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1251 Nilles Rd Ste 5, Fairfield, OH 45014 Phone: 513-939-0300 Fax: 513-939-0310
Holly Mundon, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 5 Darby Heath, Fairfield, OH 45014 Phone: 513-874-5203 Fax: 513-874-5215
Mr. Louis Alfieri, LISW-S Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1251 Nilles Rd Ste 5, Fairfield, OH 45014 Phone: 513-939-0300 Fax: 513-939-0310
Jennifer Nabel, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 908 Symmes Rd, Fairfield, OH 45014 Phone: 513-868-6500
Michael Thomas Ramos, MSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 6570 Sosna Dr, Fairfield, OH 45014 Phone: 513-942-3181
Brittany Beck, MSW-LISW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3050 Mack Rd Ste 205, Fairfield, OH 45014 Phone: 513-682-6980

Mrs Mary Therese Tanner, LISW - Medicare Clinical Social Worker in Fairfield, OH