Nanette E Davenport Roberson, LISW is a medicare enrolled "Social Worker - Clinical" provider in Dover, Ohio. Her current practice location is
201 Hospital Dr, Dover, Ohio. You can reach out to her office (for appointments etc.) via phone at
(330) 343-6631.
Nanette E Davenport Roberson is licensed to practice in Ohio (license number I. 0005312) 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 1730395138.
Healthcare Provider's Profile
Full Name | Nanette E Davenport Roberson |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 201 Hospital Dr, Dover, 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: 1730395138
- Provider Enumeration Date: 05/15/2007
- Last Update Date: 05/04/2010
Medicare PECOS Information:
- PECOS PAC ID: 6406253160
- Enrollment ID: I20210922001939
Medical Identifiers
Medical identifiers for Nanette E Davenport Roberson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1730395138 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 913124 (Ohio) | Secondary |
1041C0700X | Social Worker - Clinical | I. 0005312 (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. Nanette E Davenport Roberson allows following entities to bill medicare on her behalf.
Entity Name | Wellmore Centre Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1487150470 PECOS PAC ID: 9234536046 Enrollment ID: O20210921003583 |
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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. Nanette E Davenport Roberson 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 |
Nanette E Davenport Roberson, LISW 201 Hospital Dr, Dover, OH 44622-2058 Ph: (330) 343-6631 | Nanette E Davenport Roberson, LISW 201 Hospital Dr, Dover, OH 44622-2058 Ph: (330) 343-6631 |
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