Noah Dohm, LCSW, LAC is a medicare enrolled "Social Worker - Clinical" provider in Denver, Colorado. His current practice location is
4455 E 12th Ave, Denver, Colorado. You can reach out to his office (for appointments etc.) via phone at
(303) 504-7700.
Noah Dohm is licensed to practice in Colorado (license number CSW.09931200) 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 1265121057.
Healthcare Provider's Profile
| Full Name | Noah Dohm |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 4455 E 12th Ave, Denver, Colorado |
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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: 1265121057
- Provider Enumeration Date: 05/05/2023
- Last Update Date: 12/19/2024
Medicare PECOS Information:
- PECOS PAC ID: 1153858238
- Enrollment ID: I20241231003534
Medical Identifiers
Medical identifiers for Noah Dohm such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1265121057 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | ACD.0002575 (Colorado) | Secondary |
| 1041C0700X | Social Worker - Clinical | CSW.09931200 (Colorado) | 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. Noah Dohm allows following entities to bill medicare on his behalf.
| Entity Name | Mental Health Center Of Denver |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1447242383
PECOS PAC ID: 3476440314
Enrollment ID: O20040303001271 |
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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. Noah Dohm 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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Noah Dohm, LCSW, LAC
4455 E 12th Ave,
Denver, CO 80220-2415
Ph: (303) 504-7700 | Noah Dohm, LCSW, LAC
4455 E 12th Ave,
Denver, CO 80220-2415
Ph: (303) 504-7700 |
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