Grace Ortiz, LCSW in Maryville, IL - Medicare Social Worker Provider

Grace Ortiz, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Maryville, Illinois. Her current practice location is 2801 Keebler Rd, Maryville, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 836-2395.

Grace Ortiz is licensed to practice in Texas (license number 108100) 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 1104531078.

Contact Information

	Grace Ortiz, LCSW
	2801 Keebler Rd, Maryville, IL 62062-6866
	(217) 836-2395
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Grace Ortiz
Gender	Female
Speciality	Social Worker - Clinical
Location	2801 Keebler Rd, Maryville, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104531078
Provider Enumeration Date: 01/16/2023
Last Update Date: 02/07/2024

Medicare PECOS Information:

PECOS PAC ID: 0244602944
Enrollment ID: I20230206002563

Medical Identifiers

Medical identifiers for Grace Ortiz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104531078	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	108100 (Texas)	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. Grace Ortiz allows following entities to bill medicare on her behalf.

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220525002138

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. Grace Ortiz 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
Grace Ortiz, LCSW 2801 Keebler Rd, Maryville, IL 62062-6866 Ph: (217) 836-2395	Grace Ortiz, LCSW 2801 Keebler Rd, Maryville, IL 62062-6866 Ph: (217) 836-2395

Reviews and Comments

Social Worker in Maryville, IL

Darren Dunahee, MBA, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2921 Maryville Rd Ste B, Maryville, IL 62062 Phone: 618-484-9337 Fax: 618-484-9353
Diane Bracamontes, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2016 Vadalabene Dr Ste A, Maryville, IL 62062 Phone: 618-823-6444 Fax: 618-551-8456
Mrs. Brandi Garlich, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3 Oak Dr Ste B, Maryville, IL 62062 Phone: 217-549-5889
Mrs. Amy D Morby, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2148 Vadalabene Dr, Maryville, IL 62062 Phone: 618-288-3100 Fax: 618-288-3371
Amy Lynn Hemann, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 6805 State Route 162 Ste 201, Maryville, IL 62062 Phone: 618-288-5019 Fax: 618-288-5059
Diana K Jarman, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 6805 State Route 162 Ste 201, Maryville, IL 62062 Phone: 618-288-5019 Fax: 618-288-5059

Grace Ortiz, LCSW - Medicare Clinical Social Worker in Maryville, IL