Mrs Ophelia Mailloux, LISW-S is a medicare enrolled "Social Worker" provider in Mansfield, Ohio. She graduated from healthcare school in 2002 and has 22 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Third Street Community Clinic, Inc. and her current practice location is
600 W. Third Street, Mansfield, Ohio. You can reach out to her office (for appointments etc.) via phone at
(419) 522-6191.
Mrs Ophelia Mailloux is licensed to practice in Ohio (license number I.00010288) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1710106984.
Healthcare Provider's Profile
Full Name | Mrs Ophelia Mailloux |
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Gender | Female |
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Speciality | Clinical Social Worker |
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Experience | 22 Years |
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Location | 600 W. Third Street, Mansfield, Ohio |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mrs Ophelia Mailloux graduated from medical school in 2002
NPI Data:
- NPI Number: 1710106984
- Provider Enumeration Date: 04/25/2007
- Last Update Date: 08/01/2012
Medicare PECOS Information:
- PECOS PAC ID: 4486801701
- Enrollment ID: I20120821000972
Medical Identifiers
Medical identifiers for Mrs Ophelia Mailloux such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710106984 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
104100000X | Social Worker | I.00010288 (Ohio) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Third Street Community Clinic, Inc. | 2365423977 | 28 |
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. Mrs Ophelia Mailloux 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 - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1649599119 PECOS PAC ID: 2365423977 Enrollment ID: O20040528000770 |
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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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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: 1306499314 PECOS PAC ID: 2365423977 Enrollment ID: O20200420003356 |
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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: 1629620109 PECOS PAC ID: 2365423977 Enrollment ID: O20200520001554 |
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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. Mrs Ophelia Mailloux 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 |
Mrs Ophelia Mailloux, LISW-S 600 W. Third Street, Mansfield, OH 44906-2633 Ph: (419) 526-7869 | Mrs Ophelia Mailloux, LISW-S 600 W. Third Street, Mansfield, OH 44906-2633 Ph: (419) 522-6191 |
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