Ms Dina Marie Douglas, LISW-S - Medicare Clinical Social Worker in Kent, OH

Ms Dina Marie Douglas, LISW-S is a medicare enrolled "Social Worker - Clinical" provider in Kent, Ohio. Her current practice location is 143 Gougler Ave, Kent, Ohio. You can reach out to her office (for appointments etc.) via phone at (330) 677-4124.

Ms Dina Marie Douglas is licensed to practice in Ohio (license number I9747SUPV) 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 1023500691.

Contact Information

Ms Dina Marie Douglas, LISW-S
143 Gougler Ave,
Kent, OH 44240-2401
(330) 677-4124
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMs Dina Marie Douglas
GenderFemale
SpecialitySocial Worker - Clinical
Location143 Gougler Ave, Kent, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1023500691
  • Provider Enumeration Date: 05/30/2018
  • Last Update Date: 05/30/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 0042554685
  • Enrollment ID: I20181207001496

Medical Identifiers

Medical identifiers for Ms Dina Marie Douglas such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023500691NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical I9747SUPV (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. Ms Dina Marie Douglas allows following entities to bill medicare on her behalf.
Entity NameKelly Reeves Memorial Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295220986
PECOS PAC ID: 2961885314
Enrollment ID: O20220817001683

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. Ms Dina Marie Douglas 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 AddressPractice Location Address
Ms Dina Marie Douglas, LISW-S
407 High St,
Kent, OH 44240-3803

Ph: (330) 310-3164
Ms Dina Marie Douglas, LISW-S
143 Gougler Ave,
Kent, OH 44240-2401

Ph: (330) 677-4124

Reviews and Comments


Social Worker in Kent, OH

Tracy Lynn Crouse,
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 275 Martinel Dr, Kent, OH 44240
Phone: 330-673-6446    
Krista Weckerly, M.S.W., LISW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 275 Martinel Dr, Kent, OH 44240
Phone: 330-673-6446    Fax: 330-673-6443
Aundrea Faith Lang, LSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 5982 Rhodes Rd, Kent, OH 44240
Phone: 330-673-1347    Fax: 330-678-3677
Mrs. Debra Christine Mcfarland,
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 275 Martinel Dr Ste D, Kent, OH 44240
Phone: 330-217-0829    
Karla Leigh Lang, LSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 190 Currie Hall Pkwy, Kent, OH 44240
Phone: 330-673-5812    Fax: 330-454-9427
Miss Lateace G Lee,
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 155 N. Water Street, Kent, OH 44240
Phone: 330-678-3006    Fax: 330-677-7047

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.