Michael Teichman, LISW-S is a medicare enrolled "Social Worker" provider in Mayfield Village, Ohio. His current practice location is
6674 Seneca Rd, Mayfield Village, Ohio. You can reach out to his office (for appointments etc.) via phone at
(216) 798-7536.
Michael Teichman is licensed to practice in Ohio (license number I.2203638-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 1275030413.
Healthcare Provider's Profile
| Full Name | Michael Teichman |
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| Gender | Male |
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| Speciality | Social Worker |
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| Location | 6674 Seneca Rd, Mayfield Village, 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: 1275030413
- Provider Enumeration Date: 04/12/2018
- Last Update Date: 09/27/2024
Medicare PECOS Information:
- PECOS PAC ID: 6507209640
- Enrollment ID: I20240206002689
Medical Identifiers
Medical identifiers for Michael Teichman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1275030413 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | I.2203638-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. Michael Teichman allows following entities to bill medicare on his behalf.
| Entity Name | Crossroads Health |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1356303911
PECOS PAC ID: 9638440241
Enrollment ID: O20170731003569 |
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| Entity Name | Thrive Counseling Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1215181300
PECOS PAC ID: 0749458420
Enrollment ID: O20210722002646 |
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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. Michael Teichman 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 |
|---|
Michael Teichman, LISW-S
6674 Seneca Rd,
Mayfield Village, OH 44143-3519
Ph: (216) 798-7536 | Michael Teichman, LISW-S
6674 Seneca Rd,
Mayfield Village, OH 44143-3519
Ph: (216) 798-7536 |
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