Etta L. Charlebois Lisw-s Llc is a medicare enrolled mental health clinic (Social Worker - Clinical) in Mount Orab, Ohio. The current practice location for Etta L. Charlebois Lisw-s Llc is 15618 Hillcrest Rd, Mount Orab, Ohio. For appointments, you can reach them via phone at (937) 712-2438. The mailing address for Etta L. Charlebois Lisw-s Llc is 15618 Hillcrest Rd, Mount Orab, Ohio and phone number is (937) 712-2438.
Etta L. Charlebois Lisw-s Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1093281065. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (937) 712-2438.
Yes. This clinic participates in medicare program and accept medicare insurance.
Mailing Address and Practice Location
Mailing Address
Practice Location Address
Etta L. Charlebois Lisw-s Llc 15618 Hillcrest Rd Mount Orab OH 45154-8507 Ph: (937) 712-2438
Etta L. Charlebois Lisw-s Llc 15618 Hillcrest Rd Mount Orab OH 45154-8507 Ph: (937) 712-2438
NPI Details:
NPI Number
1093281065
Provider Enumeration Date
10/17/2018
Last Update Date
08/01/2020
Certification Date
08/01/2020
Medicare PECOS Information:
Medicare PECOS PAC ID
1456690528
Medicare Enrollment ID
O20241024002074
Medical Identifiers
Medical identifiers for Etta L. Charlebois Lisw-s Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier
Type
State
Issuer
1093281065
NPI
-
NPPES
Medical Taxonomies and Licenses
Taxonomy
Type
License (State)
Status
1041C0700X
Social Worker - Clinical
(* (Not Available))
Primary
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Etta L. Charlebois Lisw-s Llc acts as a billing entity for following providers: