Benjamin Seth Latelle, is a medicare enrolled "Social Worker - Clinical" provider in Columbus, Ohio. His current practice location is
4000 E Main St, Columbus, Ohio. You can reach out to his office (for appointments etc.) via phone at
(888) 698-8180.
Benjamin Seth Latelle is licensed to practice in Ohio (license number I.2203368-SUPV) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1285111815.
Healthcare Provider's Profile
| Full Name | Benjamin Seth Latelle |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 4000 E Main St, Columbus, 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: 1285111815
- Provider Enumeration Date: 07/26/2018
- Last Update Date: 11/05/2024
Medicare PECOS Information:
- PECOS PAC ID: 1658808563
- Enrollment ID: I20241217000976
Medical Identifiers
Medical identifiers for Benjamin Seth Latelle such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1285111815 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | I.2203368-SUPV (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. Benjamin Seth Latelle allows following entities to bill medicare on his behalf.
| Entity Name | Lighthouse Behavioral Health Solutions, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1629560230
PECOS PAC ID: 4486089893
Enrollment ID: O20200113001896 |
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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. Benjamin Seth Latelle 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 |
|---|
Benjamin Seth Latelle,
527 S High St,
Columbus, OH 43215-5602
Ph: (434) 532-5541 | Benjamin Seth Latelle,
4000 E Main St,
Columbus, OH 43213-3593
Ph: (888) 698-8180 |
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