Gary Thomas Ratliff, LISW, LICDC III is a medicare enrolled "Social Worker - Clinical" provider in Blue Ash, Ohio. His current practice location is
9403 Kenwood Rd, Blue Ash, Ohio. You can reach out to his office (for appointments etc.) via phone at
(513) 280-1523.
Gary Thomas Ratliff is licensed to practice in Ohio (license number I.2103221-SUPV) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1063951556.
Healthcare Provider's Profile
| Full Name | Gary Thomas Ratliff |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 9403 Kenwood Rd, Blue Ash, 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: 1063951556
- Provider Enumeration Date: 02/16/2017
- Last Update Date: 03/25/2023
Medicare PECOS Information:
- PECOS PAC ID: 5395110316
- Enrollment ID: I20230405000748
Medical Identifiers
Medical identifiers for Gary Thomas Ratliff such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1063951556 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LICDC.161869 (Ohio) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LCDCIII.161749 (Ohio) | Secondary |
| 1041C0700X | Social Worker - Clinical | I.2103221-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. Gary Thomas Ratliff allows following entities to bill medicare on his behalf.
| Entity Name | Midwest Counseling Centers Of Ohio |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245838630
PECOS PAC ID: 1759798366
Enrollment ID: O20210326001959 |
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| Entity Name | J Kilby Enterprises Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1316652894
PECOS PAC ID: 7214302223
Enrollment ID: O20230405000678 |
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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. Gary Thomas Ratliff 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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Gary Thomas Ratliff, LISW, LICDC III
230 Ludlow St,
Hamilton, OH 45011-2903
Ph: () - | Gary Thomas Ratliff, LISW, LICDC III
9403 Kenwood Rd,
Blue Ash, OH 45242-6895
Ph: (513) 280-1523 |
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