Trisha Lynn Clum, MD is a medicare enrolled "Pediatrics" physician in Van Wert, Ohio. Her current practice location is
140 Fox Rd Ste 201, Van Wert, Ohio. You can reach out to her office (for appointments etc.) via phone at
(419) 232-2323.
Trisha Lynn Clum is licensed to practice in Ohio (license number 35.135391) 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 1730543257.
Physician's Profile
| Full Name | Trisha Lynn Clum |
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| Gender | Female |
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| Speciality | Pediatrics |
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| Location | 140 Fox Rd Ste 201, Van Wert, 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: 1730543257
- Provider Enumeration Date: 04/11/2016
- Last Update Date: 03/22/2024
Medicare PECOS Information:
- PECOS PAC ID: 6204270994
- Enrollment ID: I20240221002597
Medical Identifiers
Medical identifiers for Trisha Lynn Clum such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1730543257 | NPI | - | NPPES |
| 0335421 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208000000X | Pediatrics | 35.135391 (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. Trisha Lynn Clum allows following entities to bill medicare on her behalf.
| Entity Name | Ohiohealth Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1578545273
PECOS PAC ID: 6305758426
Enrollment ID: O20031105000532 |
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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. Trisha Lynn Clum 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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Trisha Lynn Clum, MD
Po Box 7527,
Dublin, OH 43017-0727
Ph: () - | Trisha Lynn Clum, MD
140 Fox Rd Ste 201,
Van Wert, OH 45891-2492
Ph: (419) 232-2323 |
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