Juanita Pettaway, LISW in Maumee, OH - Medicare Social Worker Provider

Juanita Pettaway, LISW is a medicare enrolled "Social Worker - Clinical" provider in Maumee, Ohio. Her current practice location is 311 1/2 Conant St Ste 205, Maumee, Ohio. You can reach out to her office (for appointments etc.) via phone at (567) 229-3467.

Juanita Pettaway is licensed to practice in Ohio (license number I.2203489) 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 1518338748.

Contact Information

	Juanita Pettaway, LISW
	311 1/2 Conant St Ste 205, Maumee, OH 43537-3378
	(567) 229-3467
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Juanita Pettaway
Gender	Female
Speciality	Social Worker - Clinical
Location	311 1/2 Conant St Ste 205, Maumee, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1518338748
Provider Enumeration Date: 10/14/2015
Last Update Date: 09/24/2024

Medicare PECOS Information:

PECOS PAC ID: 2860879780
Enrollment ID: I20220516001377

Medical Identifiers

Medical identifiers for Juanita Pettaway such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518338748	NPI	-	NPPES
2871101	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	I.2203489 (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. Juanita Pettaway allows following entities to bill medicare on her behalf.

Entity Name	Harbor
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366526782 PECOS PAC ID: 8325931181 Enrollment ID: O20040205000276

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220604000326

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. Juanita Pettaway 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
Juanita Pettaway, LISW 311 1/2 Conant St Ste 205, Maumee, OH 43537-3378 Ph: (567) 229-3467	Juanita Pettaway, LISW 311 1/2 Conant St Ste 205, Maumee, OH 43537-3378 Ph: (567) 229-3467

Reviews and Comments

Social Worker in Maumee, OH

Mrs. Leslie Witherell, MSW, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1715 Indian Wood Cir Ste 200, Maumee, OH 43537 Phone: 877-906-9699 Fax: 888-483-0118
Heather Michelle Voyles, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1655 Holland Rd Ste F, Maumee, OH 43537 Phone: 833-510-4357 Fax: 866-460-2997
Debra J Roidl, MSW, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 720 Corey St, Maumee, OH 43537 Phone: 419-367-8835 Fax: 419-893-3828
Krista M Mcculloch, LSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1627 Henthorne Dr Ste C, Maumee, OH 43537 Phone: 419-491-0420
Olivia Dunbar, LISW-S Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1757 Indian Wood Cir, Maumee, OH 43537 Phone: 866-203-0308
Ashley Teresa Whitman, LISW, LICDC Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 1655 Holland Rd Ste F, Maumee, OH 43537 Phone: 513-834-7063
Brittney S Wilson, MSW, LISW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1690 Woodlands Dr Ste 200, Maumee, OH 43537 Phone: 419-491-0420 Fax: 567-698-7875

Juanita Pettaway, LISW - Medicare Clinical Social Worker in Maumee, OH