Ms Dawn Marie Rist-opal, LPCC-S, LICDS-CS is a medicare enrolled "Counselor" provider in Brooklyn, Ohio. Her current practice location is
7580 Northcliff Ave, Brooklyn, Ohio. You can reach out to her office (for appointments etc.) via phone at
(216) 206-7000.
Ms Dawn Marie Rist-opal is licensed to practice in Ohio (license number E.0002387 SUPV) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1659531911.
Healthcare Provider's Profile
| Full Name | Ms Dawn Marie Rist-opal |
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| Gender | Female |
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| Speciality | Counselor |
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| Location | 7580 Northcliff Ave, Brooklyn, 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: 1659531911
- Provider Enumeration Date: 06/11/2008
- Last Update Date: 01/09/2025
Medicare PECOS Information:
- PECOS PAC ID: 3072966837
- Enrollment ID: I20240129000142
Medical Identifiers
Medical identifiers for Ms Dawn Marie Rist-opal such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1659531911 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LICDC.965797 (Ohio) | Secondary |
| 101Y00000X | Counselor | E.0002387 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. Ms Dawn Marie Rist-opal allows following entities to bill medicare on her behalf.
| Entity Name | Springvale Health Centers, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1477508406
PECOS PAC ID: 4688616980
Enrollment ID: O20050526000455 |
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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. Ms Dawn Marie Rist-opal 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 |
|---|
Ms Dawn Marie Rist-opal, LPCC-S, LICDS-CS
7580 Northcliff Ave,
Brooklyn, OH 44144-3270
Ph: (216) 206-7000 | Ms Dawn Marie Rist-opal, LPCC-S, LICDS-CS
7580 Northcliff Ave,
Brooklyn, OH 44144-3270
Ph: (216) 206-7000 |
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