Chris Diederich, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Indianapolis, Indiana. He graduated from healthcare school in 2000 and has 25 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Adult And Child Mental Health Center Inc and his current practice location is
2040 N Shadeland Ave, Ste 250, Indianapolis, Indiana. You can reach out to his office (for appointments etc.) via phone at
(317) 355-5009.
Chris Diederich is licensed to practice in Indiana (license number 34004362A) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1821016700.
Healthcare Provider's Profile
| Full Name | Chris Diederich |
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| Gender | Male |
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| Speciality | Clinical Social Worker |
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| Experience | 25 Years |
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| Location | 2040 N Shadeland Ave, Indianapolis, Indiana |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Chris Diederich graduated from medical school in 2000
NPI Data:
- NPI Number: 1821016700
- Provider Enumeration Date: 07/18/2006
- Last Update Date: 04/12/2018
Medicare PECOS Information:
- PECOS PAC ID: 5395760961
- Enrollment ID: I20051012000827
Medical Identifiers
Medical identifiers for Chris Diederich such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1821016700 | NPI | - | NPPES |
| 000000390191 | Other | IN | ANTHEM BCBS PROVIDER PIN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 39000598A (Indiana) | Secondary |
| 1041C0700X | Social Worker - Clinical | 34004362A (Indiana) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Adult And Child Mental Health Center Inc | 3678567898 | 30 |
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. Chris Diederich allows following entities to bill medicare on his behalf.
| Entity Name | Community Health Network Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1336119478
PECOS PAC ID: 1850203977
Enrollment ID: O20031105000554 |
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| Entity Name | Community Howard Regional Health Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1881947133
PECOS PAC ID: 5890769988
Enrollment ID: O20040824000916 |
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| Entity Name | Adult And Child Mental Health Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154368512
PECOS PAC ID: 3678567898
Enrollment ID: O20050119000497 |
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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. Chris Diederich 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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Chris Diederich, LCSW
6626 E 75th Street, Ste 500,
Indianapolis, IN 46250-2890
Ph: () - | Chris Diederich, LCSW
2040 N Shadeland Ave, Ste 250,
Indianapolis, IN 46219-1711
Ph: (317) 355-5009 |
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