Moffou Katherine Tchoula, is a medicare enrolled "Social Worker - Clinical" provider in Columbus, Ohio. Her current practice location is
4488 W Broad St, Columbus, Ohio. You can reach out to her office (for appointments etc.) via phone at
(614) 334-6903.
Moffou Katherine Tchoula is licensed to practice in Ohio (license number I.2102824-SUPV) 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 1003450511.
Healthcare Provider's Profile
Full Name | Moffou Katherine Tchoula |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 4488 W Broad St, Columbus, Ohio |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1003450511
- Provider Enumeration Date: 10/29/2019
- Last Update Date: 03/17/2024
Medicare PECOS Information:
- PECOS PAC ID: 7618359373
- Enrollment ID: I20220728001060
Medical Identifiers
Medical identifiers for Moffou Katherine Tchoula such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1003450511 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | I.2102824-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. Moffou Katherine Tchoula allows following entities to bill medicare on her behalf.
Entity Name | Lighthouse Behavioral Health Solutions, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1629560230 PECOS PAC ID: 4486089893 Enrollment ID: O20200113001896 |
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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. Moffou Katherine Tchoula 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 |
Moffou Katherine Tchoula, 4000 E Main St, Columbus, OH 43213-2950 Ph: (614) 334-6903 | Moffou Katherine Tchoula, 4488 W Broad St, Columbus, OH 43228-5610 Ph: (614) 334-6903 |
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