Latisha Ann O Neal, LCSW in Decatur, IL - Medicare Social Worker Provider

Latisha Ann O Neal, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Decatur, Illinois. Her current practice location is 102 W Kenwood Ave Ste 100, Decatur, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 872-3800.

Latisha Ann O Neal is licensed to practice in Illinois (license number 149.017689) 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 1770779969.

Contact Information

	Latisha Ann O Neal, LCSW
	102 W Kenwood Ave Ste 100, Decatur, IL 62526-4379
	(217) 872-3800
	(217) 872-0849

Map and Direction

Healthcare Provider's Profile

Full Name	Latisha Ann O Neal
Gender	Female
Speciality	Social Worker - Clinical
Location	102 W Kenwood Ave Ste 100, Decatur, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770779969
Provider Enumeration Date: 09/20/2007
Last Update Date: 11/07/2023

Medicare PECOS Information:

PECOS PAC ID: 1355798091
Enrollment ID: I20231116003639

Medical Identifiers

Medical identifiers for Latisha Ann O Neal such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770779969	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	149.017689 (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. Latisha Ann O Neal allows following entities to bill medicare on her behalf.

Entity Name	Board Of Trustees Of Southern Illinois University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396097960 PECOS PAC ID: 4486667888 Enrollment ID: O20130424001019

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. Latisha Ann O Neal 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
Latisha Ann O Neal, LCSW Po Box 19639, Springfield, IL 62794-9639 Ph: (217) 545-8000	Latisha Ann O Neal, LCSW 102 W Kenwood Ave Ste 100, Decatur, IL 62526-4379 Ph: (217) 872-3800

Reviews and Comments

Social Worker in Decatur, IL

Mr. Charles Russell Kerwin, LCSW, CADC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1770 Elake Shore Dr, Decatur, IL 62521 Phone: 217-428-1900
Mrs. Leesa K Reed, MSW, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 151 N. Main St., Heritage Behavioral Health, Decatur, IL 62523 Phone: 217-362-6262
Nicole Lynn Ekiss, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1170 E Riverside Ave, Decatur, IL 62521 Phone: 217-387-3625
Susan S Brinklow, LCSW, ACSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3040 N University Ave Ste 2, Decatur, IL 62526 Phone: 217-872-1700 Fax: 217-872-1366
Jaymie L Mccammon, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 106 N Main St, Decatur, IL 62523 Phone: 779-220-0441
Adrian Marie Byrd, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 5130 Hickory Point Frontage Rd Ste 219, Decatur, IL 62526 Phone: 217-358-4548 Fax: 217-706-5779
Tara Ulis, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 102 W Kenwood Ave Ste 120a, Decatur, IL 62526 Phone: 217-520-1047

Latisha Ann O Neal, LCSW - Medicare Clinical Social Worker in Decatur, IL