Mrs Doris Jane Chediak, MSW is a medicare enrolled "Marriage & Family Therapist" provider in Oklahoma City, Oklahoma. She graduated from medical school in 1964 and has 60 years of diverse experience with area of expertise as Clinical Social Worker. Her current practice location is
3037 Nw 63rd Street, Suite 100w, Oklahoma City, Oklahoma. You can reach out to her office (for appointments etc.) via phone at
(405) 843-3800.
Mrs Doris Jane Chediak is licensed to practice in Oklahoma (license number 008) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1063515690.
Healthcare Provider's Profile
Full Name | Mrs Doris Jane Chediak |
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Gender | Female |
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Speciality | Clinical Social Worker |
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Experience | 60 Years |
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Location | 3037 Nw 63rd Street, Oklahoma City, Oklahoma |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mrs Doris Jane Chediak graduated from medical school in 1964
NPI Data:
- NPI Number: 1063515690
- Provider Enumeration Date: 09/07/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 4486793114
- Enrollment ID: I20091209000272
Medical Identifiers
Medical identifiers for Mrs Doris Jane Chediak such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063515690 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 183 (Oklahoma) | Primary |
106H00000X | Marriage & Family Therapist | 008 (Oklahoma) | 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. Mrs Doris Jane Chediak allows following entities to bill medicare on her behalf.
Entity Name | Doris Jane Chediak,m.s.w., Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1770811242 PECOS PAC ID: 7618017187 Enrollment ID: O20091214000317 |
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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. Mrs Doris Jane Chediak 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 |
Mrs Doris Jane Chediak, MSW 3037 Nw 63rd Street, Suite 100w, Oklahoma City, OK 73116 Ph: (405) 843-3800 | Mrs Doris Jane Chediak, MSW 3037 Nw 63rd Street, Suite 100w, Oklahoma City, OK 73116-3608 Ph: (405) 843-3800 |
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