Courtney Fiutem, LISW-S is a medicare enrolled "Social Worker - Clinical" provider in Saint Clairsville, Ohio. Her current practice location is
112 Coroline Dr, Saint Clairsville, Ohio. You can reach out to her office (for appointments etc.) via phone at
(740) 238-1276.
Courtney Fiutem is licensed to practice in Ohio (license number I.2002470-SUPV) 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 1073036190.
Healthcare Provider's Profile
Full Name | Courtney Fiutem |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 112 Coroline Dr, Saint Clairsville, Ohio |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1073036190
- Provider Enumeration Date: 07/20/2017
- Last Update Date: 01/09/2023
Medicare PECOS Information:
- PECOS PAC ID: 1254744949
- Enrollment ID: I20210120000748
Medical Identifiers
Medical identifiers for Courtney Fiutem such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073036190 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | S.1700301 (Ohio) | Secondary |
1041C0700X | Social Worker - Clinical | I.2002470-SUPV (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. Courtney Fiutem allows following entities to bill medicare on her behalf.
Entity Name | Southeastern Ohio Counseling Center, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1679844526 PECOS PAC ID: 0042511834 Enrollment ID: O20151221001732 |
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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: O20220604000326 |
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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. Courtney Fiutem 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 |
Courtney Fiutem, LISW-S 112 Coroline Dr, Saint Clairsville, OH 43950-1004 Ph: (740) 238-1276 | Courtney Fiutem, LISW-S 112 Coroline Dr, Saint Clairsville, OH 43950-1004 Ph: (740) 238-1276 |
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