Mr Jerry Duane Weber, LISW is a medicare enrolled "Social Worker" provider in Louisville, Ohio. His current practice location is
1520 California Ave, Louisville, Ohio. You can reach out to his office (for appointments etc.) via phone at
(330) 581-3681.
Mr Jerry Duane Weber is licensed to practice in Ohio (license number I0008237) 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 1710176516.
Healthcare Provider's Profile
| Full Name | Mr Jerry Duane Weber |
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| Gender | Male |
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| Speciality | Social Worker |
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| Location | 1520 California Ave, Louisville, 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: 1710176516
- Provider Enumeration Date: 10/17/2007
- Last Update Date: 11/10/2008
Medicare PECOS Information:
- PECOS PAC ID: 0547495160
- Enrollment ID: I20131106000884
Medical Identifiers
Medical identifiers for Mr Jerry Duane Weber such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1710176516 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | I0008237 (Ohio) | Secondary |
| 104100000X | Social Worker | I0008237 (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 Jerry Duane Weber allows following entities to bill medicare on his behalf.
| Entity Name | Lifecare Family Health And Dental Center, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013964923
PECOS PAC ID: 7315959483
Enrollment ID: O20131031001454 |
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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 Jerry Duane Weber 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 Jerry Duane Weber, LISW
Po Box 243, 1520 California Ave,
Louisville, OH 44641
Ph: (330) 581-3681 | Mr Jerry Duane Weber, LISW
1520 California Ave,
Louisville, OH 44641
Ph: (330) 581-3681 |
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