Mr Gary Stofle, LISW-S, LICDC is a medicare enrolled "Social Worker - Clinical" provider in Columbus, Ohio. His current practice location is
420 N James Rd, Columbus, Ohio. You can reach out to his office (for appointments etc.) via phone at
(614) 257-5208.
Mr Gary Stofle is licensed to practice in Ohio (license number I-8914) 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 1053480970.
Healthcare Provider's Profile
| Full Name | Mr Gary Stofle |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 420 N James Rd, Columbus, Ohio |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1053480970
- Provider Enumeration Date: 11/07/2006
- Last Update Date: 12/15/2009
Medicare PECOS Information:
- PECOS PAC ID: 4789638636
- Enrollment ID: I20050303000793
Medical Identifiers
Medical identifiers for Mr Gary Stofle such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1053480970 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 991669 (Ohio) | Secondary |
| 1041C0700X | Social Worker - Clinical | I-8914 (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. Mr Gary Stofle allows following entities to bill medicare on his behalf.
| Entity Name | Family Counseling & Rehabilitation Center Of Ohio |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1528605276
PECOS PAC ID: 3476979592
Enrollment ID: O20210806000882 |
|---|
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 Gary Stofle 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 Gary Stofle, LISW-S, LICDC
420 N James Rd,
Columbus, OH 43219-1834
Ph: (614) 257-5208 | Mr Gary Stofle, LISW-S, LICDC
420 N James Rd,
Columbus, OH 43219-1834
Ph: (614) 257-5208 |
Reviews and Comments