Timothy Mcdivitt, MSW, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Rushville, Indiana. His current practice location is
152 E Us Highway 52, Rushville, Indiana. You can reach out to his office (for appointments etc.) via phone at
(765) 932-3974.
Timothy Mcdivitt is licensed to practice in Indiana (license number 34007445A) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1477910982.
Healthcare Provider's Profile
Full Name | Timothy Mcdivitt |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 152 E Us Highway 52, Rushville, Indiana |
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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: 1477910982
- Provider Enumeration Date: 01/28/2016
- Last Update Date: 01/28/2016
Medicare PECOS Information:
- PECOS PAC ID: 9931405420
- Enrollment ID: I20160309001416
Medical Identifiers
Medical identifiers for Timothy Mcdivitt such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1477910982 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 87000710A (Indiana) | Secondary |
1041C0700X | Social Worker - Clinical | 34007445A (Indiana) | 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. Timothy Mcdivitt allows following entities to bill medicare on his behalf.
Entity Name | Fayette Bhc Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1669254546 PECOS PAC ID: 8426401548 Enrollment ID: O20240125000624 |
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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. Timothy Mcdivitt 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 |
Timothy Mcdivitt, MSW, LCSW 645 S Rogers St, Bloomington, IN 47403-2353 Ph: (812) 339-1691 | Timothy Mcdivitt, MSW, LCSW 152 E Us Highway 52, Rushville, IN 46173-7901 Ph: (765) 932-3974 |
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