Katelyn Audia, MSW, LSW is a medicare enrolled "Social Worker" provider in Grove City, Ohio. Her current practice location is
5665 Hoover Rd, Grove City, Ohio. You can reach out to her office (for appointments etc.) via phone at
(813) 751-4760.
Katelyn Audia is licensed to practice in * (Not Available) (license number ) 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 1356825038.
Healthcare Provider's Profile
| Full Name | Katelyn Audia |
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| Gender | Female |
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| Speciality | Social Worker |
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| Location | 5665 Hoover Rd, Grove City, 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: 1356825038
- Provider Enumeration Date: 09/19/2018
- Last Update Date: 10/27/2019
Medicare PECOS Information:
- PECOS PAC ID: 4385020726
- Enrollment ID: I20221007001556
Medical Identifiers
Medical identifiers for Katelyn Audia such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1356825038 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | 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. Katelyn Audia allows following entities to bill medicare on her behalf.
| Entity Name | Renew Wellness Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1235744400
PECOS PAC ID: 0547673618
Enrollment ID: O20210108002190 |
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| Entity Name | Still Waters Counseling, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1235721051
PECOS PAC ID: 2365802519
Enrollment ID: O20230719001650 |
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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. Katelyn Audia 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 |
|---|
Katelyn Audia, MSW, LSW
2393 Indiana Ave,
Columbus, OH 43202-3109
Ph: () - | Katelyn Audia, MSW, LSW
5665 Hoover Rd,
Grove City, OH 43123-9122
Ph: (813) 751-4760 |
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