Mrs Leah Marcelle Crook, LISW is a medicare enrolled "Social Worker - Clinical" provider in Springfield, Ohio. Her current practice location is
474 N Yellow Springs St, Springfield, Ohio. You can reach out to her office (for appointments etc.) via phone at
(937) 399-9500.
Mrs Leah Marcelle Crook is licensed to practice in Ohio (license number I.0003788-SUPV) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1629145388.
Healthcare Provider's Profile
Full Name | Mrs Leah Marcelle Crook |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 474 N Yellow Springs St, Springfield, Ohio |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1629145388
- Provider Enumeration Date: 11/29/2006
- Last Update Date: 03/02/2020
Medicare PECOS Information:
- PECOS PAC ID: 1658476189
- Enrollment ID: I20070411000582
Medical Identifiers
Medical identifiers for Mrs Leah Marcelle Crook such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629145388 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | I0003788 (Ohio) | Secondary |
1041C0700X | Social Worker - Clinical | I.0003788-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. Mrs Leah Marcelle Crook allows following entities to bill medicare on her behalf.
Entity Name | Mental Health Services For Clark Co Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1982695706 PECOS PAC ID: 7810801032 Enrollment ID: O20040108000709 |
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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. Mrs Leah Marcelle Crook 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 |
Mrs Leah Marcelle Crook, LISW 474 N Yellow Springs St, Springfield, OH 45504-2463 Ph: (937) 399-9500 | Mrs Leah Marcelle Crook, LISW 474 N Yellow Springs St, Springfield, OH 45504-2463 Ph: (937) 399-9500 |
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