Moffou Katherine Tchoula, is a medicare enrolled "Social Worker - Clinical" provider in Columbus, Ohio. She graduated from healthcare school in 2018 and has 7 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Lighthouse Behavioral Health Solutions, Llc and her current practice location is
4488 W Broad St, Columbus, Ohio. You can reach out to her office (for appointments etc.) via phone at
(614) 334-6903.
Moffou Katherine Tchoula is licensed to practice in Ohio (license number I.2102824-SUPV) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1003450511.
Healthcare Provider's Profile
| Full Name | Moffou Katherine Tchoula |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 7 Years |
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| Location | 4488 W Broad St, Columbus, Ohio |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Moffou Katherine Tchoula graduated from medical school in 2018
NPI Data:
- NPI Number: 1003450511
- Provider Enumeration Date: 10/29/2019
- Last Update Date: 03/17/2024
Medicare PECOS Information:
- PECOS PAC ID: 7618359373
- Enrollment ID: I20220728001060
Medical Identifiers
Medical identifiers for Moffou Katherine Tchoula such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1003450511 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | I.2102824-SUPV (Ohio) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Lighthouse Behavioral Health Solutions, Llc | 4486089893 | 12 |
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. Moffou Katherine Tchoula allows following entities to bill medicare on her behalf.
| Entity Name | Lighthouse Behavioral Health Solutions, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1629560230
PECOS PAC ID: 4486089893
Enrollment ID: O20200113001896 |
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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. Moffou Katherine Tchoula 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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Moffou Katherine Tchoula,
4000 E Main St,
Columbus, OH 43213-2950
Ph: (614) 334-6903 | Moffou Katherine Tchoula,
4488 W Broad St,
Columbus, OH 43228-5610
Ph: (614) 334-6903 |
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