Chasity Rachel Whitley, LISW, LCDC III is a medicare enrolled "Social Worker" provider in Celina, Ohio. Her current practice location is
4761 State Route 29, Celina, Ohio. You can reach out to her office (for appointments etc.) via phone at
(419) 584-1000.
Chasity Rachel Whitley is licensed to practice in Ohio (license number I18000889) 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 1811359771.
Healthcare Provider's Profile
| Full Name | Chasity Rachel Whitley |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker |
|---|
| Location | 4761 State Route 29, Celina, Ohio |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1811359771
- Provider Enumeration Date: 03/22/2016
- Last Update Date: 04/19/2023
Medicare PECOS Information:
- PECOS PAC ID: 7618401910
- Enrollment ID: I20241108002517
Medical Identifiers
Medical identifiers for Chasity Rachel Whitley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811359771 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LCDCIII.161697 (Ohio) | Secondary |
| 104100000X | Social Worker | I18000889 (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. Chasity Rachel Whitley allows following entities to bill medicare on her behalf.
| Entity Name | Kentucky Counseling Center Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1932590338
PECOS PAC ID: 7618221300
Enrollment ID: O20240723000886 |
|---|
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. Chasity Rachel Whitley 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 |
|---|
Chasity Rachel Whitley, LISW, LCDC III
4761 State Route 29,
Celina, OH 45822-8216
Ph: (419) 584-1000 | Chasity Rachel Whitley, LISW, LCDC III
4761 State Route 29,
Celina, OH 45822-8216
Ph: (419) 584-1000 |
Reviews and Comments