Virginia I Clagg, LISW-S, LICDC, MBA is a medicare enrolled "Social Worker - Clinical" provider in Columbus, Ohio. Her current practice location is
31 Sherman Ave, Columbus, Ohio. You can reach out to her office (for appointments etc.) via phone at
(614) 352-6807.
Virginia I Clagg is licensed to practice in Ohio (license number I.1801309-SUPV) 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 1669911749.
Healthcare Provider's Profile
| Full Name | Virginia I Clagg |
|---|
| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 31 Sherman Ave, Columbus, 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: 1669911749
- Provider Enumeration Date: 02/22/2017
- Last Update Date: 07/13/2024
Medicare PECOS Information:
- PECOS PAC ID: 7719428010
- Enrollment ID: I20240925004387
Medical Identifiers
Medical identifiers for Virginia I Clagg such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1669911749 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LICDC.161834 (Ohio) | Secondary |
| 1041C0700X | Social Worker - Clinical | I.1801309-SUPV (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. Virginia I Clagg allows following entities to bill medicare on her behalf.
| Entity Name | Recovery4life |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1689332470
PECOS PAC ID: 5991246399
Enrollment ID: O20240925004147 |
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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. Virginia I Clagg 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 |
|---|
Virginia I Clagg, LISW-S, LICDC, MBA
31 Sherman Ave,
Columbus, OH 43205-1421
Ph: (614) 352-6807 | Virginia I Clagg, LISW-S, LICDC, MBA
31 Sherman Ave,
Columbus, OH 43205-1421
Ph: (614) 352-6807 |
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