Mr Terron E Gaiter, LISW, LICDC is a medicare enrolled "Community/behavioral Health" provider in Cincinnati, Ohio. His current practice location is
3650 Muddy Creek Rd, Cincinnati, Ohio. You can reach out to his office (for appointments etc.) via phone at
(513) 347-0375.
Mr Terron E Gaiter is licensed to practice in Ohio (license number I2203490) 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 1043672496.
Healthcare Provider's Profile
| Full Name | Mr Terron E Gaiter |
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| Gender | Male |
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| Speciality | Community/behavioral Health |
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| Location | 3650 Muddy Creek Rd, Cincinnati, 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: 1043672496
- Provider Enumeration Date: 03/24/2016
- Last Update Date: 07/18/2023
Medicare PECOS Information:
- PECOS PAC ID: 4183009459
- Enrollment ID: I20220922002355
Medical Identifiers
Medical identifiers for Mr Terron E Gaiter such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1043672496 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | ICDC.161097 (Ohio) | Secondary |
| 104100000X | Social Worker | AP00943993 (West Virginia) | Secondary |
| 1041C0700X | Social Worker - Clinical | I.2203490 (Ohio) | Secondary |
| 251S00000X | Community/behavioral Health | I2203490 (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 Terron E Gaiter allows following entities to bill medicare on his behalf.
| Entity Name | Equitas Health, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1518227453
PECOS PAC ID: 2769638154
Enrollment ID: O20120830000276 |
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| Entity Name | Sondermind Provider Network Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1760854442
PECOS PAC ID: 9537572490
Enrollment ID: O20210316002509 |
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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 Terron E Gaiter 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 |
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Mr Terron E Gaiter, LISW, LICDC
9743 Woodmill Ln,
Cincinnati, OH 45231-3725
Ph: (513) 687-0838 | Mr Terron E Gaiter, LISW, LICDC
3650 Muddy Creek Rd,
Cincinnati, OH 45238-2057
Ph: (513) 347-0375 |
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