Mr Timothy Maxwell Liles, SWT, CDCA, QMHS, CMS is a medicare enrolled "Social Worker" provider in Portsmouth, Ohio. His current practice location is
519 Court St, Portsmouth, Ohio. You can reach out to his office (for appointments etc.) via phone at
(740) 876-4370.
Mr Timothy Maxwell Liles is licensed to practice in Ohio (license number S.1802660) 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 1376062992.
Healthcare Provider's Profile
| Full Name | Mr Timothy Maxwell Liles |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker |
|---|
| Location | 519 Court St, Portsmouth, Ohio |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1376062992
- Provider Enumeration Date: 09/14/2017
- Last Update Date: 08/05/2024
Medicare PECOS Information:
- PECOS PAC ID: 2163884818
- Enrollment ID: I20230814000837
Medical Identifiers
Medical identifiers for Mr Timothy Maxwell Liles such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1376062992 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LICDC.161932 (Ohio) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LCDC.161605 (Ohio) | Secondary |
| 104100000X | Social Worker | S.1802660 (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 Timothy Maxwell Liles allows following entities to bill medicare on his behalf.
| Entity Name | Cardinal Treatment Centers Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1215589197
PECOS PAC ID: 3375974421
Enrollment ID: O20200506000392 |
|---|
| Entity Name | Cardinal Treatment Centers Piketon Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1194432591
PECOS PAC ID: 0244605798
Enrollment ID: O20230613003031 |
|---|
| Entity Name | Aurora-recovery Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1962049684
PECOS PAC ID: 0840637575
Enrollment ID: O20240318001545 |
|---|
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 Timothy Maxwell Liles 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 Timothy Maxwell Liles, SWT, CDCA, QMHS, CMS
923 Findlay St,
Portsmouth, OH 45662-4148
Ph: () - | Mr Timothy Maxwell Liles, SWT, CDCA, QMHS, CMS
519 Court St,
Portsmouth, OH 45662-3933
Ph: (740) 876-4370 |
Reviews and Comments