Mr Dylan Pelham, is a medicare enrolled "Social Worker" provider in Mansfield, Ohio. He graduated from healthcare school in 2018 and has 8 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice The Center For Individual And Family Services, Inc. and his current practice location is
741 Scholl Rd, Mansfield, Ohio. You can reach out to his office (for appointments etc.) via phone at
(419) 756-1717.
Mr Dylan Pelham is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1053775478.
Healthcare Provider's Profile
| Full Name | Mr Dylan Pelham |
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| Gender | Male |
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| Speciality | Clinical Social Worker |
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| Experience | 8 Years |
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| Location | 741 Scholl Rd, Mansfield, Ohio |
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| Accepts Medicare Assignments | Yes. He 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:
- Mr Dylan Pelham graduated from medical school in 2018
NPI Data:
- NPI Number: 1053775478
- Provider Enumeration Date: 04/12/2016
- Last Update Date: 03/06/2019
Medicare PECOS Information:
- PECOS PAC ID: 3678927654
- Enrollment ID: I20230925002292
Medical Identifiers
Medical identifiers for Mr Dylan Pelham such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1053775478 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 140635 (Ohio) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| The Center For Individual And Family Services, Inc. | 9133102544 | 10 |
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. Mr Dylan Pelham allows following entities to bill medicare on his behalf.
| Entity Name | The Center For Individual And Family Services, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1487669222
PECOS PAC ID: 9133102544
Enrollment ID: O20040608000786 |
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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. Mr Dylan Pelham 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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Mr Dylan Pelham,
741 Scholl Rd,
Mansfield, OH 44907-1571
Ph: () - | Mr Dylan Pelham,
741 Scholl Rd,
Mansfield, OH 44907
Ph: (419) 756-1717 |
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