Mrs Amy Jo Smitke, LISW-S, LICDC is a medicare enrolled "Social Worker - Clinical" provider in Powell, Ohio. Her current practice location is
185 S Liberty St, Powell, Ohio. You can reach out to her office (for appointments etc.) via phone at
(402) 336-3577.
Mrs Amy Jo Smitke is licensed to practice in Ohio (license number I.1201425) 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 1730561036.
Healthcare Provider's Profile
| Full Name | Mrs Amy Jo Smitke |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 185 S Liberty St, Powell, Ohio |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1730561036
- Provider Enumeration Date: 06/23/2015
- Last Update Date: 08/17/2022
Medicare PECOS Information:
- PECOS PAC ID: 4688904121
- Enrollment ID: I20190925002254
Medical Identifiers
Medical identifiers for Mrs Amy Jo Smitke such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1730561036 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | ICDC.131089 (Ohio) | Secondary |
| 1041C0700X | Social Worker - Clinical | I.1201425 (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. Mrs Amy Jo Smitke allows following entities to bill medicare on her behalf.
| Entity Name | My Community Health Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1588117147 PECOS PAC ID: 3971884636 Enrollment ID: O20170111003340 |
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| Entity Name | Columbus Womens Wellness Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1346774742 PECOS PAC ID: 1254608433 Enrollment ID: O20170517003002 |
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| Entity Name | Sondermind Provider Network Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210316002509 |
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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 Amy Jo Smitke 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 Amy Jo Smitke, LISW-S, LICDC Po Box 143, Ostrander, OH 43061-0143 Ph: (740) 974-7177 | Mrs Amy Jo Smitke, LISW-S, LICDC 185 S Liberty St, Powell, OH 43065-7619 Ph: (402) 336-3577 |
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