Janetta Fae Mccormick, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Fort Wayne, Indiana. Her current practice location is
3512 Stellhorn Rd, Fort Wayne, Indiana. You can reach out to her office (for appointments etc.) via phone at
(260) 483-9081.
Janetta Fae Mccormick 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 1801307848.
Healthcare Provider's Profile
Full Name | Janetta Fae Mccormick |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 3512 Stellhorn Rd, Fort Wayne, Indiana |
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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: 1801307848
- Provider Enumeration Date: 10/17/2017
- Last Update Date: 10/30/2019
Medicare PECOS Information:
- PECOS PAC ID: 9234499682
- Enrollment ID: I20180205001325
Medical Identifiers
Medical identifiers for Janetta Fae Mccormick such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1801307848 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | 34006849A (Indiana) | Secondary |
1041C0700X | Social Worker - Clinical | (* (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. Janetta Fae Mccormick allows following entities to bill medicare on her behalf.
Entity Name | Alliance Health Centers Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1316556848 PECOS PAC ID: 8022437318 Enrollment ID: O20201006002848 |
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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. Janetta Fae Mccormick 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 |
Janetta Fae Mccormick, LCSW Po Box 392552, Pittsburgh, PA 15251-9500 Ph: (260) 483-9081 | Janetta Fae Mccormick, LCSW 3512 Stellhorn Rd, Fort Wayne, IN 46815-4631 Ph: (260) 483-9081 |
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