Mr Jeffrey Scott Allen, LISW-S, LICDC-CS is a medicare enrolled "Social Worker - Clinical" provider in Medina, Ohio. His current practice location is
246 Northland Dr, Medina, Ohio. You can reach out to his office (for appointments etc.) via phone at
(330) 725-9195.
Mr Jeffrey Scott Allen is licensed to practice in Ohio (license number I.0007541-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 1396822052.
Healthcare Provider's Profile
| Full Name | Mr Jeffrey Scott Allen |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 246 Northland Dr, Medina, 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: 1396822052
- Provider Enumeration Date: 11/01/2006
- Last Update Date: 03/03/2020
Medicare PECOS Information:
- PECOS PAC ID: 7618977208
- Enrollment ID: I20070104000387
Medical Identifiers
Medical identifiers for Mr Jeffrey Scott Allen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1396822052 | NPI | - | NPPES |
| 0161130 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LICDC.976101 (Ohio) | Secondary |
| 1041C0700X | Social Worker - Clinical | I.0007541-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. Mr Jeffrey Scott Allen allows following entities to bill medicare on his behalf.
| Entity Name | Alternative Paths Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1194790311
PECOS PAC ID: 4385632983
Enrollment ID: O20040503001461 |
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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 Jeffrey Scott Allen 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 Jeffrey Scott Allen, LISW-S, LICDC-CS
246 Northland Dr, Ste 200a,
Medina, OH 44256-3440
Ph: (330) 452-9812 | Mr Jeffrey Scott Allen, LISW-S, LICDC-CS
246 Northland Dr,
Medina, OH 44256-3441
Ph: (330) 725-9195 |
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