Jason Storm, LMSW, CAADC is a medicare enrolled "Social Worker - Clinical" provider in Grand Rapids, Michigan. His current practice location is
2303 Kalamazoo Ave Se, Grand Rapids, Michigan. You can reach out to his office (for appointments etc.) via phone at
(616) 965-8390.
Jason Storm is licensed to practice in Michigan (license number 6801098349) 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 1487038741.
Healthcare Provider's Profile
| Full Name | Jason Storm |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 2303 Kalamazoo Ave Se, Grand Rapids, Michigan |
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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: 1487038741
- Provider Enumeration Date: 07/16/2015
- Last Update Date: 04/04/2018
Medicare PECOS Information:
- PECOS PAC ID: 6103176342
- Enrollment ID: I20180910000032
Medical Identifiers
Medical identifiers for Jason Storm such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1487038741 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 6801098349 (Michigan) | Secondary |
| 1041C0700X | Social Worker - Clinical | 6801098349 (Michigan) | 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. Jason Storm allows following entities to bill medicare on his behalf.
| Entity Name | Cherry Street Services Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1558459164
PECOS PAC ID: 6800707647
Enrollment ID: O20040804000274 |
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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. Jason Storm 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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Jason Storm, LMSW, CAADC
2303 Kalamazoo Ave Se,
Grand Rapids, MI 49507-3780
Ph: (616) 965-8390 | Jason Storm, LMSW, CAADC
2303 Kalamazoo Ave Se,
Grand Rapids, MI 49507-3780
Ph: (616) 965-8390 |
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