Diana Pearson, is a medicare enrolled "Case Manager/care Coordinator" provider in Liberty Twp, Ohio. Her current practice location is
4819 Willow Ridge Dr, Liberty Twp, Ohio. You can reach out to her office (for appointments etc.) via phone at
(513) 894-6509.
Diana Pearson is licensed to practice in * (Not Available) (license number ) 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 1548714025.
Healthcare Provider's Profile
| Full Name | Diana Pearson |
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| Gender | Female |
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| Speciality | Case Manager/care Coordinator |
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| Location | 4819 Willow Ridge Dr, Liberty Twp, 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: 1548714025
- Provider Enumeration Date: 08/12/2016
- Last Update Date: 08/20/2025
Medicare PECOS Information:
- PECOS PAC ID: 5799213807
- Enrollment ID: I20250116001315
Medical Identifiers
Medical identifiers for Diana Pearson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1548714025 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | S0015228 (Ohio) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 981136 (Ohio) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | 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. Diana Pearson allows following entities to bill medicare on her behalf.
| Entity Name | Samaritan Behavioral Health, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1205888641
PECOS PAC ID: 0244148625
Enrollment ID: O20101007000860 |
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| Entity Name | Modern Psychiatry And Wellness Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1225260888
PECOS PAC ID: 6608029962
Enrollment ID: O20130117000157 |
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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. Diana Pearson 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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Diana Pearson,
4819 Willow Ridge Dr,
Liberty Twp, OH 45011-0417
Ph: (513) 894-6509 | Diana Pearson,
4819 Willow Ridge Dr,
Liberty Twp, OH 45011-0417
Ph: (513) 894-6509 |
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