Thomas Jay Bender, LCSW is a medicare enrolled "Social Worker" provider in Meyersdale, Pennsylvania. His current practice location is
155 Heritage Dr, Meyersdale, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(814) 442-6794.
Thomas Jay Bender is licensed to practice in Pennsylvania (license number CW016524) 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 1093910846.
Healthcare Provider's Profile
| Full Name | Thomas Jay Bender |
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| Gender | Male |
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| Speciality | Social Worker |
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| Location | 155 Heritage Dr, Meyersdale, Pennsylvania |
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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: 1093910846
- Provider Enumeration Date: 06/20/2007
- Last Update Date: 01/05/2023
Medicare PECOS Information:
- PECOS PAC ID: 7012162019
- Enrollment ID: I20130222000467
Medical Identifiers
Medical identifiers for Thomas Jay Bender such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1093910846 | NPI | - | NPPES |
| 1029915070001 | Medicaid | PA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | CW016524 (Pennsylvania) | Secondary |
| 104100000X | Social Worker | CW016524 (Pennsylvania) | 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. Thomas Jay Bender allows following entities to bill medicare on his behalf.
| Entity Name | Grow Healthcare Group Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245845932
PECOS PAC ID: 3476961368
Enrollment ID: O20220512002242 |
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| Entity Name | Bender Counseling |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063051621
PECOS PAC ID: 5698147502
Enrollment ID: O20230202000186 |
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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. Thomas Jay Bender 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 |
|---|
Thomas Jay Bender, LCSW
155 Heritage Dr,
Meyersdale, PA 15552-6720
Ph: (814) 442-6794 | Thomas Jay Bender, LCSW
155 Heritage Dr,
Meyersdale, PA 15552-6720
Ph: (814) 442-6794 |
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