Angela Dyke, is a medicare enrolled "Social Worker" provider in Portsmouth, Ohio. Her current practice location is
1907 11th St, Portsmouth, Ohio. You can reach out to her office (for appointments etc.) via phone at
(740) 529-7356.
Angela Dyke is licensed to practice in Ohio (license number 1.2405366) 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 1437667045.
Healthcare Provider's Profile
| Full Name | Angela Dyke |
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| Gender | Female |
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| Speciality | Social Worker |
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| Location | 1907 11th St, Portsmouth, Ohio |
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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: 1437667045
- Provider Enumeration Date: 01/17/2018
- Last Update Date: 11/02/2024
Medicare PECOS Information:
- PECOS PAC ID: 8123568367
- Enrollment ID: I20240913002743
Medical Identifiers
Medical identifiers for Angela Dyke such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1437667045 | NPI | - | NPPES |
| 1437667045 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 161914 (Ohio) | Secondary |
| 104100000X | Social Worker | 1.2405366 (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. Angela Dyke allows following entities to bill medicare on her behalf.
| Entity Name | Shawnee Counseling Center Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1033695051
PECOS PAC ID: 0446661805
Enrollment ID: O20201117000215 |
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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. Angela Dyke 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 |
|---|
Angela Dyke,
1907 11th St,
Portsmouth, OH 45662-4531
Ph: (740) 529-7356 | Angela Dyke,
1907 11th St,
Portsmouth, OH 45662-4531
Ph: (740) 529-7356 |
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