Ashley Teresa Whitman, LISW/LICDC is a medicare enrolled "Social Worker - Clinical" provider in Maumee, Ohio. Her current practice location is
1655 Holland Rd Ste F, Maumee, Ohio. You can reach out to her office (for appointments etc.) via phone at
(513) 834-7063.
Ashley Teresa Whitman is licensed to practice in Ohio (license number I.2506543) 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 1164978615.
Healthcare Provider's Profile
| Full Name | Ashley Teresa Whitman |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 1655 Holland Rd Ste F, Maumee, Ohio |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1164978615
- Provider Enumeration Date: 08/25/2016
- Last Update Date: 04/21/2025
Medicare PECOS Information:
- PECOS PAC ID: 4981001559
- Enrollment ID: I20250501001150
Medical Identifiers
Medical identifiers for Ashley Teresa Whitman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164978615 | NPI | - | NPPES |
| 0279511 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LICDC.161785 (Ohio) | Secondary |
| 1041C0700X | Social Worker - Clinical | I.2506543 (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. Ashley Teresa Whitman allows following entities to bill medicare on her behalf.
| Entity Name | Brightview Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1659769446
PECOS PAC ID: 9032426044
Enrollment ID: O20150923000820 |
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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. Ashley Teresa Whitman 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 |
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Ashley Teresa Whitman, LISW/LICDC
4600 Montgomery Rd Ste 400,
Cincinnati, OH 45212-2600
Ph: (335) 104-3578 | Ashley Teresa Whitman, LISW/LICDC
1655 Holland Rd Ste F,
Maumee, OH 43537-1656
Ph: (513) 834-7063 |
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