Martha E Phillips, LISW-S, LICDC is a medicare enrolled "Social Worker - Clinical" provider in Defiance, Ohio. She graduated from healthcare school in 1989 and has 37 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Mercy Medical Partners Northern Region Specialty Care Llc and her current practice location is
815 E 2nd St, Defiance, Ohio. You can reach out to her office (for appointments etc.) via phone at
(419) 267-1245.
Martha E Phillips is licensed to practice in Ohio (license number I0007228) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1285965764.
Healthcare Provider's Profile
| Full Name | Martha E Phillips |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 37 Years |
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| Location | 815 E 2nd St, Defiance, Ohio |
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| Accepts Medicare Assignments | Yes. She 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:
- Martha E Phillips graduated from medical school in 1989
NPI Data:
- NPI Number: 1285965764
- Provider Enumeration Date: 01/22/2010
- Last Update Date: 01/22/2010
Medicare PECOS Information:
- PECOS PAC ID: 4981731262
- Enrollment ID: I20100419000050
Medical Identifiers
Medical identifiers for Martha E Phillips such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1285965764 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 852059 (Ohio) | Secondary |
| 1041C0700X | Social Worker - Clinical | I0007228 (Ohio) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Mercy Medical Partners Northern Region Specialty Care Llc | 9739585480 | 79 |
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. Martha E Phillips allows following entities to bill medicare on her behalf.
| Entity Name | Mercy Medical Partners Northern Region Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1669756532
PECOS PAC ID: 0244407823
Enrollment ID: O20120123000509 |
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| Entity Name | Mercy Medical Partners Northern Region Specialty Care Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1730701749
PECOS PAC ID: 9739585480
Enrollment ID: O20210907000836 |
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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. Martha E Phillips 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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Martha E Phillips, LISW-S, LICDC
815 E 2nd St,
Defiance, OH 43512-2308
Ph: (419) 267-1245 | Martha E Phillips, LISW-S, LICDC
815 E 2nd St,
Defiance, OH 43512-2308
Ph: (419) 267-1245 |
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