Avalon Espinoza, MSW, LISW-S is a medicare enrolled "Social Worker - Clinical" provider in Worthington, Ohio. Her current practice location is
500 W Wilson Bridge Rd Ste 75, Worthington, Ohio. You can reach out to her office (for appointments etc.) via phone at
(614) 395-9767.
Avalon Espinoza is licensed to practice in Ohio (license number I0006091) 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 1033590641.
Healthcare Provider's Profile
| Full Name | Avalon Espinoza |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 500 W Wilson Bridge Rd Ste 75, Worthington, 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: 1033590641
- Provider Enumeration Date: 06/10/2015
- Last Update Date: 02/28/2022
Medicare PECOS Information:
- PECOS PAC ID: 5890172506
- Enrollment ID: I20220519000627
Medical Identifiers
Medical identifiers for Avalon Espinoza such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1033590641 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | I.0006091-SUPV (Ohio) | Secondary |
| 1041C0700X | Social Worker - Clinical | I0006091 (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. Avalon Espinoza allows following entities to bill medicare on her behalf.
| Entity Name | Root Counseling Growth & Development For Adults, Adoles & Child, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770230179
PECOS PAC ID: 2163809872
Enrollment ID: O20220519000313 |
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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. Avalon Espinoza 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 |
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Avalon Espinoza, MSW, LISW-S
233 S Ohio Ave,
Columbus, OH 43205-1335
Ph: (614) 395-9183 | Avalon Espinoza, MSW, LISW-S
500 W Wilson Bridge Rd Ste 75,
Worthington, OH 43085-2238
Ph: (614) 395-9767 |
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