Mr Kerry J Beck, LISW-SUPV is a medicare enrolled "Social Worker - Clinical" provider in Bryan, Ohio. He went to Florida State University College Of Medicine and graduated in 1994 and has 32 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Shalom Ministries and his current practice location is
228 S Main St, Bryan, Ohio. You can reach out to his office (for appointments etc.) via phone at
(567) 239-4562.
Mr Kerry J Beck is licensed to practice in Ohio (license number I.0700134-SUPV) 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 1922271212.
Healthcare Provider's Profile
| Full Name | Mr Kerry J Beck |
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| Gender | Male |
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| Speciality | Clinical Social Worker |
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| Experience | 32 Years |
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| Location | 228 S Main St, Bryan, 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 Kerry J Beck attended and graduated from Florida State University College Of Medicine in 1994
NPI Data:
- NPI Number: 1922271212
- Provider Enumeration Date: 04/08/2008
- Last Update Date: 12/19/2024
Medicare PECOS Information:
- PECOS PAC ID: 7517336647
- Enrollment ID: I20221213001495
Medical Identifiers
Medical identifiers for Mr Kerry J Beck such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1922271212 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | I.0700134-SUPV (Ohio) | Secondary |
| 1041C0700X | Social Worker - Clinical | I.0700134-SUPV (Ohio) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Shalom Ministries | 7911376033 | 7 |
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 Kerry J Beck allows following entities to bill medicare on his behalf.
| Entity Name | Health Partners Of Western Ohio |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1760952741
PECOS PAC ID: 9436139987
Enrollment ID: O20150313002043 |
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| Entity Name | Shalom Ministries |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1366573552
PECOS PAC ID: 7911376033
Enrollment ID: O20221213001281 |
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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 Kerry J Beck 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 |
|---|
Mr Kerry J Beck, LISW-SUPV
329 N West St,
Lima, OH 45801-4331
Ph: (419) 221-3072 | Mr Kerry J Beck, LISW-SUPV
228 S Main St,
Bryan, OH 43506-1755
Ph: (567) 239-4562 |
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