Mary Ellen Osburn, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Kokomo, Indiana. She graduated from healthcare school in 2007 and has 17 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Onhealthcare Llc and her current practice location is
416 Pillars Pl, Kokomo, Indiana. You can reach out to her office (for appointments etc.) via phone at
(765) 453-2165.
Mary Ellen Osburn is licensed to practice in Indiana (license number 34006478A) 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 1699060913.
Healthcare Provider's Profile
| Full Name | Mary Ellen Osburn |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 17 Years |
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| Location | 416 Pillars Pl, Kokomo, Indiana |
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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:
- Mary Ellen Osburn graduated from medical school in 2007
NPI Data:
- NPI Number: 1699060913
- Provider Enumeration Date: 06/15/2011
- Last Update Date: 08/18/2022
Medicare PECOS Information:
- PECOS PAC ID: 2062651912
- Enrollment ID: I20130625000636
Medical Identifiers
Medical identifiers for Mary Ellen Osburn such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1699060913 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 87001519A (Indiana) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 34006478A (Indiana) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Onhealthcare Llc | 8527221480 | 49 |
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. Mary Ellen Osburn allows following entities to bill medicare on her behalf.
| 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 | Onhealthcare Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1417220369
PECOS PAC ID: 8527221480
Enrollment ID: O20120514000325 |
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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. Mary Ellen Osburn 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 |
|---|
Mary Ellen Osburn, LCSW
6626 E 75th St Ste 500,
Indianapolis, IN 46250-2890
Ph: (317) 621-7584 | Mary Ellen Osburn, LCSW
416 Pillars Pl,
Kokomo, IN 46902-3849
Ph: (765) 453-2165 |
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