Michelle Fridman, LISW, LICDC is a medicare enrolled "Social Worker - Clinical" provider in Delaware, Ohio. Her current practice location is
824 Bowtown Rd, Delaware, Ohio. You can reach out to her office (for appointments etc.) via phone at
(740) 369-7688.
Michelle Fridman is licensed to practice in Ohio (license number I. 1501006) 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 1376900191.
Healthcare Provider's Profile
| Full Name | Michelle Fridman |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 824 Bowtown Rd, Delaware, 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: 1376900191
- Provider Enumeration Date: 01/25/2016
- Last Update Date: 01/25/2016
Medicare PECOS Information:
- PECOS PAC ID: 0749587483
- Enrollment ID: I20160324000735
Medical Identifiers
Medical identifiers for Michelle Fridman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1376900191 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | ICDC 091064 (Ohio) | Secondary |
| 1041C0700X | Social Worker - Clinical | I. 1501006 (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. Michelle Fridman allows following entities to bill medicare on her behalf.
| Entity Name | Ohioguidestone |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1609123728
PECOS PAC ID: 5597910935
Enrollment ID: O20130308000507 |
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| Entity Name | Access Ohio Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1689763740
PECOS PAC ID: 4385899053
Enrollment ID: O20130612000051 |
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| Entity Name | Alvis Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1386993350
PECOS PAC ID: 2264764299
Enrollment ID: O20191024001619 |
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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. Michelle Fridman 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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Michelle Fridman, LISW, LICDC
250 S Henry St,
Delaware, OH 43015-2978
Ph: (740) 369-4908 | Michelle Fridman, LISW, LICDC
824 Bowtown Rd,
Delaware, OH 43015-9661
Ph: (740) 369-7688 |
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