Mr Bobby Joe Leebold, LCSW in Bloomington, IL - Medicare Social Worker Provider

Mr Bobby Joe Leebold, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Bloomington, Illinois. His current practice location is 808 S Eldorado Rd, Suite 102, Bloomington, Illinois. You can reach out to his office (for appointments etc.) via phone at (309) 310-4636.

Mr Bobby Joe Leebold is licensed to practice in Illinois (license number 149-013270) 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 1164728127.

Contact Information

	Mr Bobby Joe Leebold, LCSW
	808 S Eldorado Rd, Suite 102, Bloomington, IL 61704-6071
	(309) 310-4636
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Bobby Joe Leebold
Gender	Male
Speciality	Social Worker - Clinical
Location	808 S Eldorado Rd, Bloomington, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164728127
Provider Enumeration Date: 02/08/2011
Last Update Date: 02/08/2011

Medicare PECOS Information:

PECOS PAC ID: 3476721119
Enrollment ID: I20110722000518

Medical Identifiers

Medical identifiers for Mr Bobby Joe Leebold such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164728127	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	149-013270 (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. Mr Bobby Joe Leebold allows following entities to bill medicare on his behalf.

Entity Name	The Robert Young Center For Community Mental Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912158494 PECOS PAC ID: 4587600150 Enrollment ID: O20220303002245

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 Bobby Joe Leebold 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 Bobby Joe Leebold, LCSW Po Box 604, Bloomington, IL 61702-0604 Ph: (309) 706-3190	Mr Bobby Joe Leebold, LCSW 808 S Eldorado Rd, Suite 102, Bloomington, IL 61704-6071 Ph: (309) 310-4636

Reviews and Comments

Social Worker in Bloomington, IL

Hannah Deterding, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 108 W Market St, Bloomington, IL 61701 Phone: 309-827-5351
Sara Fidlow, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1003 Martin Luther King Dr, Bloomington, IL 61701 Phone: 309-827-6026
Daniela Michelle Van Pelt, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 702 W Chestnut St, Bloomington, IL 61701 Phone: 888-924-3786 Fax: 309-820-3574
Jaylene Taubert, MSW LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 712 E Empire St Ste 1, Bloomington, IL 61701 Phone: 309-310-2841
Zoe Jane Baker, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 205 N Williamsburg Dr Ste A, Bloomington, IL 61704 Phone: 309-807-5077
Ms. Johanna Rayman, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 200 W Monroe St, Suite 301, Bloomington, IL 61701 Phone: 309-310-5453
Danielle D Beasley, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 108 W Market St, Bloomington, IL 61701 Phone: 309-827-5351 Fax: 309-829-6808

Mr Bobby Joe Leebold, LCSW - Medicare Clinical Social Worker in Bloomington, IL