Mr Benjamin R Cheney, MSW, LCSW-SAS, CCTP is a medicare enrolled "Social Worker - Clinical" provider in Green Bay, Wisconsin. He graduated from healthcare school in 2001 and has 23 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Gjb Health Services, Llc and his current practice location is
2640 West Point Rd, Green Bay, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(920) 490-3790.
Mr Benjamin R Cheney is licensed to practice in Wisconsin (license number 7420-123) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1477727097.
Healthcare Provider's Profile
| Full Name | Mr Benjamin R Cheney |
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| Gender | Male |
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| Speciality | Clinical Social Worker |
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| Experience | 23 Years |
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| Location | 2640 West Point Rd, Green Bay, Wisconsin |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Benjamin R Cheney graduated from medical school in 2001
NPI Data:
- NPI Number: 1477727097
- Provider Enumeration Date: 04/15/2008
- Last Update Date: 09/16/2013
Medicare PECOS Information:
- PECOS PAC ID: 9739316928
- Enrollment ID: I20131213001224
Medical Identifiers
Medical identifiers for Mr Benjamin R Cheney such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1477727097 | NPI | - | NPPES |
| 12435121 | Other | | CAQH |
| 100022647 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 7420-123 (Wisconsin) | Secondary |
| 1041C0700X | Social Worker - Clinical | 7420-123 (Wisconsin) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Gjb Health Services, Llc | 5496068405 | 2 |
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. Mr Benjamin R Cheney allows following entities to bill medicare on his behalf.
| Entity Name | Gjb Health Services, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1659711687
PECOS PAC ID: 5496068405
Enrollment ID: O20150721000083 |
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| Entity Name | Lucid Lane Providers Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1912507021
PECOS PAC ID: 2163839382
Enrollment ID: O20210827002079 |
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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. Mr Benjamin R Cheney 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 |
|---|
Mr Benjamin R Cheney, MSW, LCSW-SAS, CCTP
2640 West Point Rd,
Green Bay, WI 54304
Ph: (920) 490-3790 | Mr Benjamin R Cheney, MSW, LCSW-SAS, CCTP
2640 West Point Rd,
Green Bay, WI 54304
Ph: (920) 490-3790 |
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