Mr Kenneth Joseph Bielecki, LISW-S, MSSA is a medicare enrolled "Social Worker - Clinical" provider in Youngstown, Ohio. His current practice location is
517 Gypsy Ln, Youngstown, Ohio. You can reach out to his office (for appointments etc.) via phone at
(330) 746-7929.
Mr Kenneth Joseph Bielecki is licensed to practice in Ohio (license number I.0700113-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 1528184496.
Healthcare Provider's Profile
| Full Name | Mr Kenneth Joseph Bielecki |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 517 Gypsy Ln, Youngstown, 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: 1528184496
- Provider Enumeration Date: 03/22/2007
- Last Update Date: 03/21/2024
Medicare PECOS Information:
- PECOS PAC ID: 0648450189
- Enrollment ID: I20110215000961
Medical Identifiers
Medical identifiers for Mr Kenneth Joseph Bielecki such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1528184496 | NPI | - | NPPES |
| 101YM0800X | Other | OH | MENTAL HEALTH COUNSELOR |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | S-0027461 (Ohio) | Secondary |
| 1041C0700X | Social Worker - Clinical | S-0027461 (Ohio) | Secondary |
| 1041C0700X | Social Worker - Clinical | I.0700113-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. Mr Kenneth Joseph Bielecki allows following entities to bill medicare on his behalf.
| Entity Name | Youngstown Area Jewish Federation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1841340056
PECOS PAC ID: 9931007713
Enrollment ID: O20031230000818 |
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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 Kenneth Joseph Bielecki 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 Kenneth Joseph Bielecki, LISW-S, MSSA
517 Gypsy Ln,
Youngstown, OH 44504-1314
Ph: (330) 746-7929 | Mr Kenneth Joseph Bielecki, LISW-S, MSSA
517 Gypsy Ln,
Youngstown, OH 44504-1314
Ph: (330) 746-7929 |
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