Madison Marissa Sudon, LISW in Youngstown, OH - Medicare Social Worker Provider

Madison Marissa Sudon, LISW is a medicare enrolled "Social Worker - Clinical" provider in Youngstown, Ohio. Her current practice location is 5204 Mahoning Ave Ste 105, Youngstown, Ohio. You can reach out to her office (for appointments etc.) via phone at (330) 797-0036.

Madison Marissa Sudon is licensed to practice in * (Not Available) (license number ) 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 1760143945.

Contact Information

	Madison Marissa Sudon, LISW
	5204 Mahoning Ave Ste 105, Youngstown, OH 44515-1808
	(330) 797-0036
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Madison Marissa Sudon
Gender	Female
Speciality	Social Worker - Clinical
Location	5204 Mahoning Ave Ste 105, Youngstown, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760143945
Provider Enumeration Date: 01/10/2022
Last Update Date: 05/29/2025

Medicare PECOS Information:

PECOS PAC ID: 7214447044
Enrollment ID: I20250610002782

Medical Identifiers

Medical identifiers for Madison Marissa Sudon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760143945	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. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Madison Marissa Sudon allows following entities to bill medicare on her behalf.

Entity Name	Advanced Counseling Solutions Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699098418 PECOS PAC ID: 2860799459 Enrollment ID: O20160325000580

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. Madison Marissa Sudon 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
Madison Marissa Sudon, LISW 5204 Mahoning Ave Ste 105, Youngstown, OH 44515-1808 Ph: (330) 797-0036	Madison Marissa Sudon, LISW 5204 Mahoning Ave Ste 105, Youngstown, OH 44515-1808 Ph: (330) 797-0036

Reviews and Comments

Social Worker in Youngstown, OH

Marisa D Mook, LISW-S Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 8440 Market St, Youngstown, OH 44512 Phone: 330-965-9999 Fax: 330-757-0000
Andrea L Catone, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4822 Market St Ste 100, Youngstown, OH 44512 Phone: 330-544-8005
Adreanna Shonelle Mendenhall, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8440 Market St, Youngstown, OH 44512 Phone: 330-965-9999 Fax: 330-757-0000
Desiree J Farragher, MSW, LISW-S Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2980 Belmont Ave, Youngstown, OH 44505 Phone: 330-759-2310 Fax: 330-759-0018
William Theron Aley-byrne, LISW-S Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 16 Colonial Dr, Youngstown, OH 44505 Phone: 234-232-7501
Tracey Neal, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 80 E Midlothian Blvd, Youngstown, OH 44507 Phone: 330-234-5251
Olivia M Coontz, CDCA, QMHS Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 711 Belmont Ave, Youngstown, OH 44502 Phone: 330-793-2487 Fax: 330-743-5748

Madison Marissa Sudon, LISW - Medicare Clinical Social Worker in Youngstown, OH