Star June, is a medicare enrolled "Social Worker - Clinical" provider in Shelby, Ohio. Her current practice location is
2775 State Route 39, Shelby, Ohio. You can reach out to her office (for appointments etc.) via phone at
(419) 747-3322.
Star June is licensed to practice in Ohio (license number I.2405319) 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 1932735438.
Healthcare Provider's Profile
| Full Name | Star June |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 2775 State Route 39, Shelby, 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: 1932735438
- Provider Enumeration Date: 03/16/2020
- Last Update Date: 04/10/2024
Medicare PECOS Information:
- PECOS PAC ID: 0244771327
- Enrollment ID: I20240916003903
Medical Identifiers
Medical identifiers for Star June such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1932735438 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CDCA.170834 (Ohio) | Secondary |
| 104100000X | Social Worker | S.2005160 (Ohio) | Secondary |
| 1041C0700X | Social Worker - Clinical | I.2405319 (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. Star June allows following entities to bill medicare on her behalf.
| Entity Name | Third Street Community Clinic, Inc. |
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| Entity Type | Part B Supplier - Public Health/welfare Agency |
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| Entity Identifiers | NPI Number: 1336252519
PECOS PAC ID: 2365423977
Enrollment ID: O20071009000076 |
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| Entity Name | Third Street Community Clinic, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1720407554
PECOS PAC ID: 2365423977
Enrollment ID: O20141020001750 |
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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. Star June 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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Star June,
2775 State Route 39,
Shelby, OH 44875-9466
Ph: (419) 747-3322 | Star June,
2775 State Route 39,
Shelby, OH 44875-9466
Ph: (419) 747-3322 |
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