Ivaylo Hristov, LCSW in Shorewood, WI - Medicare Clinical Social Worker Provider

Ivaylo Hristov, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Shorewood, Wisconsin. He graduated from medical school in 2004 and has 21 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Cornerstone Counseling Services Inc, Icf Consultants Inc and his current practice location is 4465 N Oakland Ave Unit 310, Shorewood, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (530) 574-6855.

Ivaylo Hristov is licensed to practice in Wisconsin (license number 7835-123) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1255405320.

Contact Information

	Ivaylo Hristov, LCSW
	4465 N Oakland Ave Unit 310, Shorewood, WI 53211-1662
	(530) 574-6855
	(414) 755-7772

Map and Direction

Healthcare Provider's Profile

Full Name	Ivaylo Hristov
Gender	Male
Speciality	Clinical Social Worker
Experience	21 Years
Location	4465 N Oakland Ave Unit 310, Shorewood, Wisconsin
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ivaylo Hristov graduated from medical school in 2004

NPI Data:

NPI Number: 1255405320
Provider Enumeration Date: 11/20/2006
Last Update Date: 01/31/2019

Medicare PECOS Information:

PECOS PAC ID: 4486813029
Enrollment ID: I20120316000585

Medical Identifiers

Medical identifiers for Ivaylo Hristov such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255405320	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	ASW 17168 (California)	Secondary
1041C0700X	Social Worker - Clinical	7835-123 (Wisconsin)	Primary
1041C0700X	Social Worker - Clinical	LCSW27688 (California)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Cornerstone Counseling Services Inc	1456256023	126
Icf Consultants Inc	9234028168	2

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. Ivaylo Hristov allows following entities to bill medicare on his behalf.

Entity Name	Columbia St Marys Hospital Milwaukee Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023064482 PECOS PAC ID: 5890604722 Enrollment ID: O20031105000057

Entity Name	Cornerstone Counseling Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033127246 PECOS PAC ID: 1456256023 Enrollment ID: O20031205000446

Entity Name	Icf Consultants Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962568998 PECOS PAC ID: 9234028168 Enrollment ID: O20040310001493

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. Ivaylo Hristov 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
Ivaylo Hristov, LCSW 10850 W Park Pl, Ste 100, Milwaukee, WI 53224-3636 Ph: (916) 418-0828	Ivaylo Hristov, LCSW 4465 N Oakland Ave Unit 310, Shorewood, WI 53211-1662 Ph: (530) 574-6855

Reviews and Comments

Social Worker in Shorewood, WI

Shalonda Renee Leflore, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4465 N Oakland Ave Unit 110, Shorewood, WI 53211 Phone: 414-899-0111
Ms. Mary Ellen Gerber, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4465 N Oakland Ave, Shorewood, WI 53211 Phone: 414-460-7753
Mrs. Nancy Lee Hornby, MSW, CICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3970 N Oakland Ave, Shorewood, WI 53211 Phone: 414-332-9096
Virginia D. Stocker, VIRGINIA STOCKER Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3970 N Oakland Ave, #502, Shorewood, WI 53211 Phone: 414-332-2548
Sarah Elizabeth Brill, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4433 N Oakland Ave Ste D, Shorewood, WI 53211 Phone: 414-906-1445 Fax: 414-906-1445
Ms. Sandra P Blaies, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4465 N Oakland Ave, Shorewood, WI 53211 Phone: 414-964-8980

Ivaylo Hristov, LCSW - Medicare Clinical Social Worker in Shorewood, WI