Alexandra Thieman, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Providence, Rhode Island. Her current practice location is
520 Hope St, Providence, Rhode Island. You can reach out to her office (for appointments etc.) via phone at
(614) 572-6551.
Alexandra Thieman is licensed to practice in * (Not Available) (license number ISW03793) 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 1225547193.
Healthcare Provider's Profile
| Full Name | Alexandra Thieman |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 520 Hope St, Providence, Rhode Island |
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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: 1225547193
- Provider Enumeration Date: 09/23/2017
- Last Update Date: 03/11/2024
Medicare PECOS Information:
- PECOS PAC ID: 2062878085
- Enrollment ID: I20230517003232
Medical Identifiers
Medical identifiers for Alexandra Thieman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1225547193 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | ISW03793 (Rhode Island) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | ISW03793 (* (Not Available)) | 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. Alexandra Thieman allows following entities to bill medicare on her behalf.
| Entity Name | The Providence Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1104847946
PECOS PAC ID: 9739080292
Enrollment ID: O20040116000840 |
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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. Alexandra Thieman 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 |
|---|
Alexandra Thieman, LICSW
520 Hope St,
Providence, RI 02906-2532
Ph: (614) 572-6551 | Alexandra Thieman, LICSW
520 Hope St,
Providence, RI 02906-2532
Ph: (614) 572-6551 |
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