Chase Sullivan, LISW in Kent, OH - Medicare Social Worker Provider

Chase Sullivan, LISW is a medicare enrolled "Social Worker - Clinical" provider in Kent, Ohio. His current practice location is 5982 Rhodes Rd, Kent, Ohio. You can reach out to his office (for appointments etc.) via phone at (330) 673-1347.

Chase Sullivan is licensed to practice in Ohio (license number I.1450747) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1528427507.

Contact Information

	Chase Sullivan, LISW
	5982 Rhodes Rd, Kent, OH 44240-8100
	(330) 673-1347
	(330) 678-3677

Map and Direction

Healthcare Provider's Profile

Full Name	Chase Sullivan
Gender	Male
Speciality	Social Worker - Clinical
Location	5982 Rhodes Rd, Kent, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1528427507
Provider Enumeration Date: 02/18/2016
Last Update Date: 02/18/2016

Medicare PECOS Information:

PECOS PAC ID: 1658677240
Enrollment ID: I20160308001241

Medical Identifiers

Medical identifiers for Chase Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528427507	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	I.1450747 (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. Chase Sullivan allows following entities to bill medicare on his behalf.

Entity Name	Syntero Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588619852 PECOS PAC ID: 8224020466 Enrollment ID: O20040330001521

Entity Name	Coleman Professional Services, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982637633 PECOS PAC ID: 2769474618 Enrollment ID: O20040331001085

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. Chase Sullivan 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
Chase Sullivan, LISW 799 S Main St, Lima, OH 45804-1519 Ph: (419) 229-2222	Chase Sullivan, LISW 5982 Rhodes Rd, Kent, OH 44240-8100 Ph: (330) 673-1347

Reviews and Comments

Social Worker in Kent, OH

Tracy Lynn Crouse, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 275 Martinel Dr, Kent, OH 44240 Phone: 330-673-6446
Ms. Dina Marie Douglas, LISW-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 143 Gougler Ave, Kent, OH 44240 Phone: 330-677-4124
Krista Weckerly, M.S.W., LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 275 Martinel Dr, Kent, OH 44240 Phone: 330-673-6446 Fax: 330-673-6443
Aundrea Faith Lang, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5982 Rhodes Rd, Kent, OH 44240 Phone: 330-673-1347 Fax: 330-678-3677
Mrs. Debra Christine Mcfarland, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 275 Martinel Dr Ste D, Kent, OH 44240 Phone: 330-217-0829
Karla Leigh Lang, LSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 190 Currie Hall Pkwy, Kent, OH 44240 Phone: 330-673-5812 Fax: 330-454-9427
Miss Lateace G Lee, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 155 N. Water Street, Kent, OH 44240 Phone: 330-678-3006 Fax: 330-677-7047

Chase Sullivan, LISW - Medicare Clinical Social Worker in Kent, OH