Trisha Palencer, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Avon, Indiana. She went to Indiana Medical College, School Of Medicine Of Purdue University and graduated in 2015 and has 9 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Indiana University Health West Hospital, Inc and her current practice location is
1115 Ronald Reagan Pkwy Ste 383, Avon, Indiana. You can reach out to her office (for appointments etc.) via phone at
(317) 217-2711.
Trisha Palencer is licensed to practice in Indiana (license number 34007885A) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1972067353.
Healthcare Provider's Profile
Full Name | Trisha Palencer |
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Gender | Female |
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Speciality | Clinical Social Worker |
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Experience | 9 Years |
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Location | 1115 Ronald Reagan Pkwy Ste 383, Avon, Indiana |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Trisha Palencer attended and graduated from Indiana Medical College, School Of Medicine Of Purdue University in 2015
NPI Data:
- NPI Number: 1972067353
- Provider Enumeration Date: 01/30/2019
- Last Update Date: 01/30/2019
Medicare PECOS Information:
- PECOS PAC ID: 4183964679
- Enrollment ID: I20190320000662
Medical Identifiers
Medical identifiers for Trisha Palencer such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1972067353 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 87001597A (Indiana) | Secondary |
1041C0700X | Social Worker - Clinical | 34007885A (Indiana) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Indiana University Health West Hospital, Inc | 1456257682 | 3 |
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. Trisha Palencer allows following entities to bill medicare on her behalf.
Entity Name | Indiana University Health West Hospital, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1801815832 PECOS PAC ID: 1456257682 Enrollment ID: O20120305000472 |
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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. Trisha Palencer 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 |
Trisha Palencer, LCSW 1115 Ronald Reagan Pkwy Ste 383, Avon, IN 46123-6914 Ph: (317) 217-2711 | Trisha Palencer, LCSW 1115 Ronald Reagan Pkwy Ste 383, Avon, IN 46123-6914 Ph: (317) 217-2711 |
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