Maritza Rodriguez Diaz, LCSW in Champaign, IL - Medicare Social Worker Provider

Maritza Rodriguez Diaz, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Champaign, Illinois. Her current practice location is 309 W Clark St, Champaign, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 398-9066.

Maritza Rodriguez Diaz is licensed to practice in * (Not Available) (license number ) 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 1801552930.

Contact Information

	Maritza Rodriguez Diaz, LCSW
	309 W Clark St, Champaign, IL 61820-4637
	(217) 398-9066
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Maritza Rodriguez Diaz
Gender	Female
Speciality	Social Worker - Clinical
Location	309 W Clark St, Champaign, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1801552930
Provider Enumeration Date: 11/12/2021
Last Update Date: 03/10/2022

Medicare PECOS Information:

PECOS PAC ID: 6305231002
Enrollment ID: I20220316000873

Medical Identifiers

Medical identifiers for Maritza Rodriguez Diaz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801552930	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	(* (Not Available))	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. Maritza Rodriguez Diaz allows following entities to bill medicare on her behalf.

Entity Name	Kevin Elliott Counseling Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255357422 PECOS PAC ID: 0143226860 Enrollment ID: O20061019000433

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. Maritza Rodriguez Diaz 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
Maritza Rodriguez Diaz, LCSW 309 W Clark St, Champaign, IL 61820-4637 Ph: (217) 398-9066	Maritza Rodriguez Diaz, LCSW 309 W Clark St, Champaign, IL 61820-4637 Ph: (217) 398-9066

Reviews and Comments

Social Worker in Champaign, IL

Ms. Lisa Diane Barkstall, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1801 Fox Dr, Champaign, IL 61820 Phone: 217-398-8080
Ms. Jennifer Mcnair, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2503 Jordan Dr, Champaign, IL 61822 Phone: 224-688-8577 Fax: 217-600-7158
Kevin Joseph Elliott, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1807 S Neil St, Champaign, IL 61820 Phone: 815-878-5078
Mary Derbish, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 505 W University Ave Ste 202-203, Champaign, IL 61820 Phone: 224-232-8057
Macey Lyn Jones, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 N Chestnut St Ste 225, Champaign, IL 61820 Phone: 217-202-9506 Fax: 217-355-1255
Erica Kay Tonn, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4006 Pinecrest Dr, Champaign, IL 61822 Phone: 217-552-7964
Rose St Clair, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 701 Devonshire Dr Ste D-2b, Champaign, IL 61820 Phone: 312-854-9661

Maritza Rodriguez Diaz, LCSW - Medicare Clinical Social Worker in Champaign, IL