Mr Scott Edmond Culver, CDCA in Fairborn, OH - Medicare Counselor Provider

Mr Scott Edmond Culver, CDCA is a medicare enrolled "Counselor" provider in Fairborn, Ohio. His current practice location is 302 W Main St, Fairborn, Ohio. You can reach out to his office (for appointments etc.) via phone at (937) 281-4673.

Mr Scott Edmond Culver is licensed to practice in Ohio (license number LICDC.162311) 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 1548830680.

Contact Information

	Mr Scott Edmond Culver, CDCA
	302 W Main St, Fairborn, OH 45324-5037
	(937) 281-4673
	(937) 318-1120

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Scott Edmond Culver
Gender	Male
Speciality	Counselor
Location	302 W Main St, Fairborn, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548830680
Provider Enumeration Date: 06/30/2021
Last Update Date: 12/21/2023

Medicare PECOS Information:

PECOS PAC ID: 5294184669
Enrollment ID: I20240514002637

Medical Identifiers

Medical identifiers for Mr Scott Edmond Culver such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548830680	NPI	-	NPPES
0453270	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	LICDC.162311 (Ohio)	Primary
101Y00000X	Counselor	C.2204618 (Ohio)	Secondary

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 Scott Edmond Culver allows following entities to bill medicare on his behalf.

Entity Name	Decoach Team Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366992224 PECOS PAC ID: 7517244551 Enrollment ID: O20170501001472

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 Scott Edmond Culver 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 Scott Edmond Culver, CDCA 100 Crowne Point Pl, Cincinnati, OH 45241-5427 Ph: (513) 743-7628	Mr Scott Edmond Culver, CDCA 302 W Main St, Fairborn, OH 45324-5037 Ph: (937) 281-4673

Reviews and Comments

Counselor in Fairborn, OH

Sonia M Rapp, Counselor Medicare: Not Enrolled in Medicare Practice Location: 302 W Main St, Fairborn, OH 45324 Phone: 937-262-3508 Fax: 937-318-8918
Tyshawna Frazer-new, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2320 Laguna Ct Unit 206, Fairborn, OH 45324 Phone: 937-532-8624
Jason Keating, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1082 Whitetail Dr, Fairborn, OH 45324 Phone: 614-787-3247
Sophia Alridge, BS, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 594 East Dayton Yellow Springs Road, Fairborn, OH 45324 Phone: 937-701-6631
Mrs. Heidi K Bruner, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1016 Rainbow Ct, Fairborn, OH 45324 Phone: 937-641-3401
Lisa Chase-miller, Counselor Medicare: Not Enrolled in Medicare Practice Location: 302 W Main St, Fairborn, OH 45324 Phone: 937-281-4673 Fax: 937-318-1120
Mr. Timothy Ray Beverly, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 302 W Main St, Fairborn, OH 45324 Phone: 937-281-4673

Mr Scott Edmond Culver, CDCA - Medicare Counselor in Fairborn, OH