Rochelle Renee King, is a medicare enrolled "Student In An Organized Health Care Education/training Program" provider in Canton, Ohio. Her current practice location is
4641 Fulton Dr Nw, Canton, Ohio. You can reach out to her office (for appointments etc.) via phone at
(330) 433-6075.
Rochelle Renee King is licensed to practice in Ohio (license number C.2002813-TRNE) 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 1598368946.
Healthcare Provider's Profile
| Full Name | Rochelle Renee King |
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| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 4641 Fulton Dr Nw, Canton, 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: 1598368946
- Provider Enumeration Date: 11/18/2020
- Last Update Date: 11/18/2020
Medicare PECOS Information:
- PECOS PAC ID: 8729514492
- Enrollment ID: I20241205002084
Medical Identifiers
Medical identifiers for Rochelle Renee King such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1598368946 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (Ohio) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | C.2002813-TRNE (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. Rochelle Renee King allows following entities to bill medicare on her behalf.
| Entity Name | Child And Adolescent Behavioral Health |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1831172576
PECOS PAC ID: 2264712694
Enrollment ID: O20161201000343 |
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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. Rochelle Renee King 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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Rochelle Renee King,
1297 Wilbur Ave,
Akron, OH 44301-1826
Ph: (210) 834-7242 | Rochelle Renee King,
4641 Fulton Dr Nw,
Canton, OH 44718-2384
Ph: (330) 433-6075 |
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