Mr Ely Roman Peralta, LCSW-C, LICSW, LCSW in Olney, MD

Mr Ely Roman Peralta, LCSW-C, LICSW, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Olney, Maryland. His current practice location is 18213 Hillcrest Ave, Olney, Maryland. You can reach out to his office (for appointments etc.) via phone at (301) 417-5979.

Mr Ely Roman Peralta is licensed to practice in Maryland (license number 27223) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1508524505.

Contact Information

	Mr Ely Roman Peralta, LCSW-C, LICSW, LCSW
	18213 Hillcrest Ave, Olney, MD 20832-1422
	(301) 417-5979
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Ely Roman Peralta
Gender	Male
Speciality	Social Worker - Clinical
Location	18213 Hillcrest Ave, Olney, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508524505
Provider Enumeration Date: 12/07/2021
Last Update Date: 04/19/2024

Medicare PECOS Information:

PECOS PAC ID: 1658718218
Enrollment ID: I20240319002788

Medical Identifiers

Medical identifiers for Mr Ely Roman Peralta such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508524505	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	0904016495 (Virginia)	Secondary
1041C0700X	Social Worker - Clinical	LC200003207 (District Of Columbia)	Secondary
1041C0700X	Social Worker - Clinical	27223 (Maryland)	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. Mr Ely Roman Peralta allows following entities to bill medicare on his behalf.

Entity Name	Jewish Social Service Agency
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962414284 PECOS PAC ID: 8123920097 Enrollment ID: O20040121001177

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. Mr Ely Roman Peralta 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
Mr Ely Roman Peralta, LCSW-C, LICSW, LCSW 18213 Hillcrest Ave, Olney, MD 20832-1422 Ph: (301) 417-5979	Mr Ely Roman Peralta, LCSW-C, LICSW, LCSW 18213 Hillcrest Ave, Olney, MD 20832-1422 Ph: (301) 417-5979

Reviews and Comments

Social Worker in Olney, MD

Tiffaney Mills, MSW, LCSW-C Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 17904 Georgia Ave Ste 200, Olney, MD 20832 Phone: 240-304-3327
Carol Block Toll, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3611 King William Dr, Olney, MD 20832 Phone: 301-924-5124
Lauren Newland, LCSW-C Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3430 N High St, Olney, MD 20832 Phone: 202-631-1545
Kimberly Garrison, LCSW-C Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2923 Olney Sandy Spring Rd Ste A&b, Olney, MD 20832 Phone: 301-466-9195
Linda Joanne Natoli, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2923 Olney Sandy Spring Rd Ste C, Olney, MD 20832 Phone: 301-693-5608
Ms. Jil Marie Whittle, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3416 Olandwood Ct, Ste. 201, Olney, MD 20832 Phone: 240-475-0143
Mr. Gabriel Ian Chernoff, LCSWC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2915 Olney Sandy Spring Rd, B, Olney, MD 20832 Phone: 301-570-7500 Fax: 301-570-7504

Mr Ely Roman Peralta, LCSW-C, LICSW, LCSW - Medicare Clinical Social Worker in Olney, MD