Recovery Services Of Northwest Ohio, Inc - Medicare Primary Care in Defiance, OH

Recovery Services Of Northwest Ohio, Inc is a medicare enrolled primary clinic (Clinic/center) in Defiance, Ohio. The current practice location for Recovery Services Of Northwest Ohio, Inc is 511 Perry St, Defiance, Ohio. For appointments, you can reach them via phone at (419) 782-9920. The mailing address for Recovery Services Of Northwest Ohio, Inc is 511 Perry St, Defiance, Ohio and phone number is (419) 782-9920.

Recovery Services Of Northwest Ohio, Inc is licensed to practice in Ohio (license number 1140,1975,1297,0989). The clinic also participates in the medicare program and its NPI number is 1720046451. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (419) 782-9920.

Contact Information

Recovery Services Of Northwest Ohio, Inc
511 Perry St
Defiance
OH 43512-2123
(419) 782-9920
(419) 784-2523

Map and Direction


Primary Care Clinic Profile

Full NameRecovery Services Of Northwest Ohio, Inc
SpecialityClinic/Center
Location511 Perry St, Defiance, Ohio
Authorized Official Name and PositionRuth Peck (CEO)
Authorized Official Contact4197829920
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Recovery Services Of Northwest Ohio, Inc
511 Perry St
Defiance
OH 43512-2123

Ph: (419) 782-9920
Recovery Services Of Northwest Ohio, Inc
511 Perry St
Defiance
OH 43512-2123

Ph: (419) 782-9920

NPI Details:

NPI Number1720046451
Provider Enumeration Date05/03/2006
Last Update Date02/29/2016

Medicare PECOS Information:

Medicare PECOS PAC ID7113221508
Medicare Enrollment IDO20160204001858

Medical Identifiers

Medical identifiers for Recovery Services Of Northwest Ohio, Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720046451NPI-NPPES
2846906MedicaidOH
1140OtherOHMACSIS UPI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261Q00000XClinic/center 3069,6686 (Ohio)Secondary
251300000XLocal Education Agency (lea) 1140,1975,1297,0989, (Ohio)Secondary
251300000XLocal Education Agency (lea) 10998,3069,6686 (* (Not Available))Secondary
251B00000XCase Management 1140,1975,1297,0989 (Ohio)Secondary
251B00000XCase Management 3069,6686 (Ohio)Secondary
261QM0801XClinic/center - Mental Health (including Community Mental Health Center) 1140,1975,1297,0989 (Ohio)Secondary
261QM0801XClinic/center - Mental Health (including Community Mental Health Center) 3069,6686 (Ohio)Secondary
261QR0405XClinic/center - Rehabilitation, Substance Use Disorder 1140,1975,1297,0989 (Ohio)Secondary
261QR0405XClinic/center - Rehabilitation, Substance Use Disorder 3069,6686 (Ohio)Secondary
261Q00000XClinic/center 1140,1975,1297,0989 (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. Recovery Services Of Northwest Ohio, Inc acts as a billing entity for following providers:
Provider NameJacqueline A Carr
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1003029968
PECOS PAC ID: 9537131602
Enrollment ID: I20040809001476
Provider NameMelchor Mercado
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1750374104
PECOS PAC ID: 4486604329
Enrollment ID: I20050127000800
Provider NameTeymour Sepahbodi
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1992748230
PECOS PAC ID: 5890731590
Enrollment ID: I20070213000190
Provider NameTeresa Eicher
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1518029560
PECOS PAC ID: 4284707852
Enrollment ID: I20080716000253
Provider NameSunita Agarwal
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1851393375
PECOS PAC ID: 0648247114
Enrollment ID: I20090416000241
Provider NameEdwin Walker
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1861492134
PECOS PAC ID: 5092754226
Enrollment ID: I20110608000203
Provider NameRamya G Goyal
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1285896282
PECOS PAC ID: 3678793684
Enrollment ID: I20140925000707
Provider NameJessica M Kajfasz
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1831466572
PECOS PAC ID: 1557667177
Enrollment ID: I20160308002255
Provider NameRosa E Gonzales
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104348499
PECOS PAC ID: 6507138823
Enrollment ID: I20170822002024
Provider NameSarah L Lohman
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1184996761
PECOS PAC ID: 7517210669
Enrollment ID: I20181019001045
Provider NameBrenda Byers
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1588177604
PECOS PAC ID: 9335492487
Enrollment ID: I20181019001051
Provider NameJosie Dean
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518425099
PECOS PAC ID: 2860828563
Enrollment ID: I20200128001785
Provider NameJoshua J Oglehart
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811338999
PECOS PAC ID: 0648408229
Enrollment ID: I20200924001550
Provider NameKenneth R Kowalski
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396375770
PECOS PAC ID: 9133536550
Enrollment ID: I20210401000611
Provider NameGloria Miller
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1871081257
PECOS PAC ID: 3476960733
Enrollment ID: I20210402000145
Provider NameElizabeth M Wilde
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1538674957
PECOS PAC ID: 3971994096
Enrollment ID: I20211228002513
Provider NameApril F Mckenzie
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1730679630
PECOS PAC ID: 1456744887
Enrollment ID: I20220208001925
Provider NameCraig A Bills
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1760995880
PECOS PAC ID: 8224408901
Enrollment ID: I20221222000426
Provider NameAshley Nicole Cohen
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1194335166
PECOS PAC ID: 1254862303
Enrollment ID: I20241001001688
Provider NameMegan Bowser
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1710388376
PECOS PAC ID: 7315472412
Enrollment ID: I20241126003509
Provider NameSharronda Willis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457020737
PECOS PAC ID: 9032645486
Enrollment ID: I20241209001370
Provider NameAlexis Sinn
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1093381980
PECOS PAC ID: 9234666405
Enrollment ID: I20241230001982
Provider NameFaith M Monroe
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1144821364
PECOS PAC ID: 2769913425
Enrollment ID: I20241231002193
Provider NameJordan Trejo
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1124740329
PECOS PAC ID: 9638690449
Enrollment ID: I20250310002463

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.