Allyson Roudybush, LCSW in Erie, PA - Medicare Social Worker Provider

Allyson Roudybush, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Erie, Pennsylvania. Her current practice location is 2307 W 12th St, Erie, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (814) 528-5667.

Allyson Roudybush is licensed to practice in Pennsylvania (license number CW023332) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1568157600.

Contact Information

	Allyson Roudybush, LCSW
	2307 W 12th St, Erie, PA 16505-4539
	(814) 528-5667
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Allyson Roudybush
Gender	Female
Speciality	Social Worker - Clinical
Location	2307 W 12th St, Erie, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568157600
Provider Enumeration Date: 04/05/2023
Last Update Date: 04/05/2023

Medicare PECOS Information:

PECOS PAC ID: 1355701988
Enrollment ID: I20230714000997

Medical Identifiers

Medical identifiers for Allyson Roudybush such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568157600	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	CW023332 (Pennsylvania)	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. Allyson Roudybush allows following entities to bill medicare on her behalf.

Entity Name	Imagine Medical Group, Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821731548 PECOS PAC ID: 5698154086 Enrollment ID: O20220615000283

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. Allyson Roudybush 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
Allyson Roudybush, LCSW 4125 Greengarden Rd, Erie, PA 16509-1122 Ph: (814) 490-3641	Allyson Roudybush, LCSW 2307 W 12th St, Erie, PA 16505-4539 Ph: (814) 528-5667

Reviews and Comments

Social Worker in Erie, PA

Kristen A Schenker, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1373 W 6th St, Erie, PA 16505 Phone: 814-873-4205
Brent Vargo, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2910 State St, Erie, PA 16508 Phone: 814-464-5686
Donna M Snyder, LCSW, CAC DIPLOMATE Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1910 Sassafras St, Suite 100, Erie, PA 16502 Phone: 814-452-5490 Fax: 814-452-7610
Ms. Antoinette Louise Baker-mulford, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5100 Peach St, Erie, PA 16509 Phone: 814-866-4500 Fax: 814-866-2677
Mrs. Julia Rose Copen, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1910 Sassafras St, Erie, PA 16502 Phone: 814-452-5843 Fax: 814-452-7610
Ann Hippely, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5100 Peach St, Erie, PA 16509 Phone: 814-866-4500
Mr. David T. Urban, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 956 W 38th St, Erie, PA 16508 Phone: 814-864-9719 Fax: 814-866-1171

Allyson Roudybush, LCSW - Medicare Clinical Social Worker in Erie, PA