Ms Leslie Hannah Brody, LISW-S, LICDC is a medicare enrolled "Social Worker - Clinical" provider in Middletown, Ohio. Her current practice location is
4464 S Dixie Hwy, Middletown, Ohio. You can reach out to her office (for appointments etc.) via phone at
(513) 649-8008.
Ms Leslie Hannah Brody is licensed to practice in Ohio (license number I-0009280) 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 1700070844.
Healthcare Provider's Profile
| Full Name | Ms Leslie Hannah Brody |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 4464 S Dixie Hwy, Middletown, 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: 1700070844
- Provider Enumeration Date: 08/31/2007
- Last Update Date: 02/08/2017
Medicare PECOS Information:
- PECOS PAC ID: 4587759394
- Enrollment ID: I20071008000588
Medical Identifiers
Medical identifiers for Ms Leslie Hannah Brody such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700070844 | NPI | - | NPPES |
| 01-0693 | Other | OH | CARF CERTIFICATION |
| H291160 | Other | OH | MEDICARE INDIVIDUAL PTAN |
| 0074946 | Other | OH | MEDICAID LEGACY NUMBER MENTAL HEALTH |
| 0074861 | Other | OH | MEDICAID LEGACY NUMBER CHEMICAL DEPENDENCY |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | I 0009280 (Ohio) | Secondary |
| 101YP2500X | Counselor - Professional | I 0009280 (Ohio) | Secondary |
| 1041C0700X | Social Worker - Clinical | I-0009280 (Ohio) | Primary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LICDC.011170 (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. Ms Leslie Hannah Brody allows following entities to bill medicare on her behalf.
| Entity Name | Jewish Family Service Of The Cincinnati Area |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1144422866
PECOS PAC ID: 5193764686
Enrollment ID: O20050425000935 |
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| Entity Name | Access Counseling Services Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073884524
PECOS PAC ID: 4880844513
Enrollment ID: O20121015000652 |
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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. Ms Leslie Hannah Brody 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 |
|---|
Ms Leslie Hannah Brody, LISW-S, LICDC
4464 S Dixie Hwy,
Middletown, OH 45005-5464
Ph: (513) 649-8008 | Ms Leslie Hannah Brody, LISW-S, LICDC
4464 S Dixie Hwy,
Middletown, OH 45005-5464
Ph: (513) 649-8008 |
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