Jesse M Crowder, is a medicare enrolled "Social Worker - Clinical" provider in Cleveland, Ohio. His current practice location is
815 Superior Ave E Ste 1618, Cleveland, Ohio. You can reach out to his office (for appointments etc.) via phone at
(440) 679-1452.
Jesse M Crowder is licensed to practice in Ohio (license number I.2304984-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 1417458134.
Healthcare Provider's Profile
| Full Name | Jesse M Crowder |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 815 Superior Ave E Ste 1618, Cleveland, 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: 1417458134
- Provider Enumeration Date: 02/27/2018
- Last Update Date: 06/21/2025
Medicare PECOS Information:
- PECOS PAC ID: 9931541133
- Enrollment ID: I20240520001957
Medical Identifiers
Medical identifiers for Jesse M Crowder such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1417458134 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LICDC.162220 (Ohio) | Secondary |
| 104100000X | Social Worker | S.2106128 (Ohio) | Secondary |
| 1041C0700X | Social Worker - Clinical | I.2304984-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. Jesse M Crowder allows following entities to bill medicare on his behalf.
| Entity Name | Signature Health, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1679767289
PECOS PAC ID: 8628970985
Enrollment ID: O20040126000762 |
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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. Jesse M Crowder 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 |
|---|
Jesse M Crowder,
815 Superior Ave E Ste 1618,
Cleveland, OH 44114-2709
Ph: (440) 679-1452 | Jesse M Crowder,
815 Superior Ave E Ste 1618,
Cleveland, OH 44114-2709
Ph: (440) 679-1452 |
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