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BMSC Az LLC

Organization Active NPI Clinical Social Worker · Plainfield, IL

NPI 1497201875 · NPPES record last updated May 18, 2021

Key facts

NPI
1497201875
Entity type
Organization (NPI type 2)
Primary specialty
Clinical Social Worker 1041C0700X
Legal business name
BMSC AZ LLC
Practice address
10204 Bode St Ste B
Plainfield, IL 60585-9813
Phone
(855) 241-7160
Fax
(954) 324-8354
NPI assigned
Aug 26, 2016
Organization subpart
No

Authorized official

Name
Ms. Melanie Donohue, LCSW
Title
Authorized Official
Phone
(855) 241-7160

Practitioners 192

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 192

Medicare participation

Medicare fee-for-service enrollment
Enrolled (33 enrollments) in AZ, WI, IN, UT, TN, NY, MA, SC, VA, MO, LA, ME, OR, WA, GA, NJ, MD, IA, PA, CT, OK, KY, NH, OH, KS, MT, MS, AR, DC, DE, AL, NM, NE

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20170317000545 AZ Part B Supplier - Clinic/Group Practice 4385929173 Receives reassigned benefits from 18 practitioners
Practice locations: Peoria, AZ; Scottsdale, AZ
O20180329000971 WI Part B Supplier - Clinic/Group Practice 4385929173 Receives reassigned benefits from 7 practitioners
Practice locations: Verona, WI
O20180405002345 IN Part B Supplier - Clinic/Group Practice 4385929173 Receives reassigned benefits from 10 practitioners
Practice locations: Morgantown, IN
O20180801003151 UT Part B Supplier - Clinic/Group Practice 4385929173 Receives reassigned benefits from 5 practitioners
Practice locations: Midvale, UT; North Ogden, UT; Riverton, UT; Salt Lake City, UT
O20181024003257 TN Part B Supplier - Clinic/Group Practice 4385929173 Receives reassigned benefits from 8 practitioners
Practice locations: MC Kenzie, TN
O20181128000051 NY Part B Supplier - Clinic/Group Practice 4385929173 Receives reassigned benefits from 26 practitioners
Practice locations: Cambria Heights, NY
O20190827000909 MA Part B Supplier - Clinic/Group Practice 4385929173 Receives reassigned benefits from 14 practitioners
Practice locations: Needham, MA
O20191102000100 SC Part B Supplier - Clinic/Group Practice 4385929173 Receives reassigned benefits from 9 practitioners
Practice locations: North Augusta, SC; Tega Cay, SC
O20191122001690 VA Part B Supplier - Clinic/Group Practice 4385929173 Receives reassigned benefits from 13 practitioners
Practice locations: Portsmouth, VA
O20191220000865 MO Part B Supplier - Clinic/Group Practice 4385929173 Receives reassigned benefits from 7 practitioners
Practice locations: Saint Louis, MO
O20200226000556 LA Part B Supplier - Clinic/Group Practice 4385929173 Receives reassigned benefits from 3 practitioners
Practice locations: Jonesville, LA
O20200915000947 ME Part B Supplier - Clinic/Group Practice 4385929173 Receives reassigned benefits from 5 practitioners
Practice locations: Portland, ME
O20201027002323 OR Part B Supplier - Clinic/Group Practice 4385929173 Receives reassigned benefits from 14 practitioners
Practice locations: Ashland, OR
O20201030002119 WA Part B Supplier - Clinic/Group Practice 4385929173 Receives reassigned benefits from 20 practitioners
Practice locations: Leavenworth, WA
O20201216001582 GA Part B Supplier - Clinic/Group Practice 4385929173 Receives reassigned benefits from 12 practitioners
Practice locations: Atlanta, GA
O20201217001707 NJ Part B Supplier - Clinic/Group Practice 4385929173 Receives reassigned benefits from 10 practitioners
Practice locations: Randolph, NJ
O20210208002012 MD Part B Supplier - Clinic/Group Practice 4385929173 Receives reassigned benefits from 5 practitioners
Practice locations: Pikesville, MD
O20210628002995 IA Part B Supplier - Clinic/Group Practice 4385929173 Receives reassigned benefits from 4 practitioners
Practice locations: West Branch, IA
O20220315001769 PA Part B Supplier - Clinic/Group Practice 4385929173 Receives reassigned benefits from 13 practitioners
Practice locations: New Castle, PA
O20220317000580 CT Part B Supplier - Clinic/Group Practice 4385929173 Receives reassigned benefits from 4 practitioners
Practice locations: Torrington, CT
O20220323000804 OK Part B Supplier - Clinic/Group Practice 4385929173 Receives reassigned benefits from 4 practitioners
Practice locations: Tahlequah, OK
O20220425001927 KY Part B Supplier - Clinic/Group Practice 4385929173 Receives reassigned benefits from 2 practitioners
Practice locations: Perryville, KY
O20220524001472 NH Part B Supplier - Clinic/Group Practice 4385929173 Receives reassigned benefits from 6 practitioners
Practice locations: Durham, NH
O20220526002670 OH Part B Supplier - Clinic/Group Practice 4385929173 Receives reassigned benefits from 3 practitioners
Practice locations: Ashville, OH
O20220623002758 KS Part B Supplier - Clinic/Group Practice 4385929173 Receives reassigned benefits from 5 practitioners
Practice locations: Chanute, KS
O20220707002909 MT Part B Supplier - Clinic/Group Practice 4385929173 Receives reassigned benefits from 3 practitioners
Practice locations: Helena, MT
O20220719001054 MS Part B Supplier - Clinic/Group Practice 4385929173 Receives reassigned benefits from 3 practitioners
Practice locations: Courtland, MS
O20220831001385 AR Part B Supplier - Clinic/Group Practice 4385929173 Receives reassigned benefits from 5 practitioners
Practice locations: Pine Bluff, AR
O20221018001979 DC Part B Supplier - Clinic/Group Practice 4385929173 Receives reassigned benefits from 16 practitioners
Practice locations: Alexandria, VA; Hyattsville, MD
O20221111000204 DE Part B Supplier - Clinic/Group Practice 4385929173 Receives reassigned benefits from 5 practitioners
Practice locations: Dover, DE
O20230119000259 AL Part B Supplier - Clinic/Group Practice 4385929173 Receives reassigned benefits from 3 practitioners
Practice locations: Huntsville, AL
O20230223001171 NM Part B Supplier - Clinic/Group Practice 4385929173 Receives reassigned benefits from 4 practitioners
Practice locations: Rio Rancho, NM
O20240516003630 NE Part B Supplier - Clinic/Group Practice 4385929173 Receives reassigned benefits from 2 practitioners
Practice locations: Elkhorn, NE

National Provider Directory

Locations

7370 E Gold Dust Ave
Scottsdale, AZ 85258
Phone (480) 609-5115

10204 Bode St
Ste B
Plainfield, IL 60585
Phone (630) 229-6462

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker
Group: 193400000X SINGLE SPECIALTY GROUP		 1041C0700X Yes

Addresses

Primary practice location

10204 Bode St Ste B
Plainfield, IL 60585-9813

Mailing address

10204 Bode St Ste B
Plainfield, IL 60585-9813
Phone (855) 241-7160

Other providers in Plainfield, IL

All providers in Plainfield, IL · Clinical Social Worker in Illinois

Sources for this page

Verify at the official NPI Registry.