Cerina Nicole Woodall, MSW,LISW is a medicare enrolled "Social Worker - Clinical" provider in Wickliffe, Ohio. Her current practice location is
1460 Rockefeller Rd, Wickliffe, Ohio. You can reach out to her office (for appointments etc.) via phone at
(216) 406-8937.
Cerina Nicole Woodall is licensed to practice in Ohio (license number I.2204139) 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 1801381264.
Healthcare Provider's Profile
| Full Name | Cerina Nicole Woodall |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 1460 Rockefeller Rd, Wickliffe, 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: 1801381264
- Provider Enumeration Date: 06/28/2018
- Last Update Date: 07/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 9335521814
- Enrollment ID: I20220801001330
Medical Identifiers
Medical identifiers for Cerina Nicole Woodall such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1801381264 | NPI | - | NPPES |
| 0369548 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | I.2204139 (Ohio) | Primary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
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. Cerina Nicole Woodall allows following entities to bill medicare on her behalf.
| Entity Name | Commitment To Hope Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1609216589
PECOS PAC ID: 0446532006
Enrollment ID: O20170117001469 |
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| Entity Name | Grow Healthcare Group Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245845932
PECOS PAC ID: 3476961368
Enrollment ID: O20220604000326 |
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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. Cerina Nicole Woodall 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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Cerina Nicole Woodall, MSW,LISW
2034 Revere Rd,
Cleveland Heights, OH 44118-2634
Ph: (216) 406-8937 | Cerina Nicole Woodall, MSW,LISW
1460 Rockefeller Rd,
Wickliffe, OH 44092-1932
Ph: (216) 406-8937 |
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