Carla Hernandez, in Forest Park, IL - Medicare Social Worker Provider

Carla Hernandez, is a medicare enrolled "Social Worker - Clinical" provider in Forest Park, Illinois. Her current practice location is 8311 Roosevelt Rd, Forest Park, Illinois. You can reach out to her office (for appointments etc.) via phone at (708) 771-7000.

Carla Hernandez is licensed to practice in Illinois (license number 149022507) 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 1144966359.

Contact Information

	Carla Hernandez,
	8311 Roosevelt Rd, Forest Park, IL 60130-2500
	(708) 771-7000
	(708) 209-2282

Map and Direction

Healthcare Provider's Profile

Full Name	Carla Hernandez
Gender	Female
Speciality	Social Worker - Clinical
Location	8311 Roosevelt Rd, Forest Park, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144966359
Provider Enumeration Date: 05/10/2022
Last Update Date: 05/10/2022

Medicare PECOS Information:

PECOS PAC ID: 1658756929
Enrollment ID: I20220922002240

Medical Identifiers

Medical identifiers for Carla Hernandez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144966359	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	149022507 (Illinois)	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. Carla Hernandez allows following entities to bill medicare on her behalf.

Entity Name	Riveredge Hospital Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710070701 PECOS PAC ID: 3870401268 Enrollment ID: O20061218000253

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. Carla Hernandez 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
Carla Hernandez, 8311 Roosevelt Rd, Forest Park, IL 60130-2500 Ph: (630) 770-0089	Carla Hernandez, 8311 Roosevelt Rd, Forest Park, IL 60130-2500 Ph: (708) 771-7000

Reviews and Comments

Social Worker in Forest Park, IL

Jason Maurice Burnett, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1029 Des Plaines Ave Apt 404, Forest Park, IL 60130 Phone: 312-342-7504
Sarah Martinez, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8311 Roosevelt Rd, Forest Park, IL 60130 Phone: 708-771-7000
Jessica Beth Sittig, MSW, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 7243 Madison St, 416, Forest Park, IL 60130 Phone: 708-289-3017
David Walker, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 7232 Randolph St Apt 207, Forest Park, IL 60130 Phone: 708-845-1317
Gabriela Flores, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7227 Madison St, Forest Park, IL 60130 Phone: 773-774-4444
Ms. Yesenia Romo, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 510 Ferdinand Ave, Forest Park, IL 60130 Phone: 708-655-1653

Carla Hernandez, - Medicare Clinical Social Worker in Forest Park, IL