Lisa Diane Yelder, LMSW is a medicare enrolled "Social Worker - Clinical" provider in Detroit, Michigan. Her current practice location is
15800 W Mcnichols Rd, Detroit, Michigan. You can reach out to her office (for appointments etc.) via phone at
(313) 334-8980.
Lisa Diane Yelder is licensed to practice in Michigan (license number 6801058737) 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 1790834570.
Healthcare Provider's Profile
| Full Name | Lisa Diane Yelder |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 15800 W Mcnichols Rd, Detroit, 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: 1790834570
- Provider Enumeration Date: 01/09/2007
- Last Update Date: 05/13/2022
Medicare PECOS Information:
- PECOS PAC ID: 6507969847
- Enrollment ID: I20070307000361
Medical Identifiers
Medical identifiers for Lisa Diane Yelder such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1790834570 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | 6801058737 (Michigan) | Secondary |
| 1041C0700X | Social Worker - Clinical | 6801058737 (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. Lisa Diane Yelder allows following entities to bill medicare on her behalf.
| Entity Name | Asnaa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1346637758
PECOS PAC ID: 9931429255
Enrollment ID: O20150527002110 |
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| Entity Name | Social Work Services Of America Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1477196491
PECOS PAC ID: 7719310192
Enrollment ID: O20191126002211 |
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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. Lisa Diane Yelder 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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Lisa Diane Yelder, LMSW
19445 W Warren Ave,
Detroit, MI 48228-3361
Ph: (313) 307-0088 | Lisa Diane Yelder, LMSW
15800 W Mcnichols Rd,
Detroit, MI 48235-3566
Ph: (313) 334-8980 |
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