Dori L Grace, LCSW in Rensselaer, IN - Medicare Social Worker Provider

Dori L Grace, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Rensselaer, Indiana. Her current practice location is 131 W Drexel Pkwy, Rensselaer, Indiana. You can reach out to her office (for appointments etc.) via phone at (219) 866-4194.

Dori L Grace is licensed to practice in Indiana (license number 34009834A) 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 1609502913.

Contact Information

	Dori L Grace, LCSW
	131 W Drexel Pkwy, Rensselaer, IN 47978-7344
	(219) 866-4194
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dori L Grace
Gender	Female
Speciality	Social Worker - Clinical
Location	131 W Drexel Pkwy, Rensselaer, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609502913
Provider Enumeration Date: 07/28/2022
Last Update Date: 07/28/2022

Medicare PECOS Information:

PECOS PAC ID: 8224412580
Enrollment ID: I20220906001104

Medical Identifiers

Medical identifiers for Dori L Grace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609502913	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	34009834A (Indiana)	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. Dori L Grace allows following entities to bill medicare on her behalf.

Entity Name	Valley Oaks Health Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689629990 PECOS PAC ID: 7315927563 Enrollment ID: O20040720001286

Entity Name	Vitae Health Medical Indiana Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396493433 PECOS PAC ID: 1153708086 Enrollment ID: O20220516001732

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. Dori L Grace 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
Dori L Grace, LCSW 14113 N State Road 49, Wheatfield, IN 46392-8802 Ph: (219) 204-1474	Dori L Grace, LCSW 131 W Drexel Pkwy, Rensselaer, IN 47978-7344 Ph: (219) 866-4194

Reviews and Comments

Social Worker in Rensselaer, IN

Stephanie Ann Shields, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 131 W Drexel Pkwy, Rensselaer, IN 47978 Phone: 219-866-4194 Fax: 219-866-4197
Kimberly D Denton, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 131 W Drexel Pkwy, Rensselaer, IN 47978 Phone: 219-866-4194
Rachel L Johnson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 131 W Drexel Pkwy, Rensselaer, IN 47978 Phone: 219-866-4194

Dori L Grace, LCSW - Medicare Clinical Social Worker in Rensselaer, IN