Mr Kerry J Beck, LISW-SUPV is a medicare enrolled "Social Worker - Clinical" provider in Bryan, Ohio. His current practice location is
228 S Main St, Bryan, Ohio. You can reach out to his office (for appointments etc.) via phone at
(567) 239-4562.
Mr Kerry J Beck is licensed to practice in Ohio (license number I.0700134-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 1922271212.
Healthcare Provider's Profile
| Full Name | Mr Kerry J Beck |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 228 S Main St, Bryan, 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: 1922271212
- Provider Enumeration Date: 04/08/2008
- Last Update Date: 12/19/2024
Medicare PECOS Information:
- PECOS PAC ID: 7517336647
- Enrollment ID: I20221213001495
Medical Identifiers
Medical identifiers for Mr Kerry J Beck such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1922271212 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | I.0700134-SUPV (Ohio) | Secondary |
| 1041C0700X | Social Worker - Clinical | I.0700134-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 Kerry J Beck allows following entities to bill medicare on his behalf.
| Entity Name | Shalom Ministries |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1366573552
PECOS PAC ID: 7911376033
Enrollment ID: O20221213001281 |
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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 Kerry J Beck 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 Kerry J Beck, LISW-SUPV
329 N West St,
Lima, OH 45801-4331
Ph: (419) 221-3072 | Mr Kerry J Beck, LISW-SUPV
228 S Main St,
Bryan, OH 43506-1755
Ph: (567) 239-4562 |
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