Shiyue Qin, LISW is a medicare enrolled "Social Worker - Clinical" provider in Cleveland Heights, Ohio. His current practice location is
2460 Fairmount Blvd Ste 209, Cleveland Heights, Ohio. You can reach out to his office (for appointments etc.) via phone at
(216) 777-9587.
Shiyue Qin is licensed to practice in Ohio (license number I.2102709) 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 1871071415.
Healthcare Provider's Profile
| Full Name | Shiyue Qin |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 2460 Fairmount Blvd Ste 209, Cleveland Heights, 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: 1871071415
- Provider Enumeration Date: 08/06/2018
- Last Update Date: 11/30/2021
Medicare PECOS Information:
- PECOS PAC ID: 3678001138
- Enrollment ID: I20250110003135
Medical Identifiers
Medical identifiers for Shiyue Qin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1871071415 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | I.2102709 (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. Shiyue Qin allows following entities to bill medicare on his behalf.
| Entity Name | Mind Trek Counseling Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1467035097
PECOS PAC ID: 8123556685
Enrollment ID: O20250110003080 |
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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. Shiyue Qin 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 |
|---|
Shiyue Qin, LISW
2460 Fairmount Blvd Ste 209,
Cleveland Heights, OH 44106-3125
Ph: (216) 777-9587 | Shiyue Qin, LISW
2460 Fairmount Blvd Ste 209,
Cleveland Heights, OH 44106-3125
Ph: (216) 777-9587 |
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