Justin Delong, is a medicare enrolled "Social Worker" provider in Portsmouth, Ohio. His current practice location is
411 Court St, Portsmouth, Ohio. You can reach out to his office (for appointments etc.) via phone at
(740) 354-6685.
Justin Delong is licensed to practice in Ohio (license number S.2308896) 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 1285309096.
Healthcare Provider's Profile
| Full Name | Justin Delong |
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| Gender | Male |
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| Speciality | Social Worker |
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| Location | 411 Court St, Portsmouth, 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: 1285309096
- Provider Enumeration Date: 08/13/2021
- Last Update Date: 03/15/2023
Medicare PECOS Information:
- PECOS PAC ID: 6305386566
- Enrollment ID: I20240913003213
Medical Identifiers
Medical identifiers for Justin Delong such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1285309096 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CDCA.140665 (Ohio) | Secondary |
| 101YM0800X | Counselor - Mental Health | QMHS (Ohio) | Secondary |
| 104100000X | Social Worker | S.2308896 (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. Justin Delong allows following entities to bill medicare on his behalf.
| Entity Name | Shawnee Counseling Center Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1033695051
PECOS PAC ID: 0446661805
Enrollment ID: O20201117000215 |
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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. Justin Delong 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 |
|---|
Justin Delong,
411 Court St,
Portsmouth, OH 45662-3932
Ph: (740) 354-6685 | Justin Delong,
411 Court St,
Portsmouth, OH 45662-3932
Ph: (740) 354-6685 |
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