Mr David Manuel Salas, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Hanover Park, Illinois. His current practice location is
7375 Cumberland Dr, Hanover Park, Illinois. You can reach out to his office (for appointments etc.) via phone at
(773) 908-0454.
Mr David Manuel Salas is licensed to practice in Illinois (license number 149015932) 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 1508203928.
Healthcare Provider's Profile
Full Name | Mr David Manuel Salas |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 7375 Cumberland Dr, Hanover Park, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1508203928
- Provider Enumeration Date: 05/24/2013
- Last Update Date: 08/11/2016
Medicare PECOS Information:
- PECOS PAC ID: 7416181409
- Enrollment ID: I20131007000144
Medical Identifiers
Medical identifiers for Mr David Manuel Salas such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1508203928 | NPI | - | NPPES |
PENDING | Medicaid | IL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 149015932 (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 David Manuel Salas allows following entities to bill medicare on his behalf.
Entity Name | Primecare Community Health, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1558532739 PECOS PAC ID: 6204722077 Enrollment ID: O20040227000011 |
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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 David Manuel Salas 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 David Manuel Salas, LCSW 7375 Cumberland Drive, Hanover Park, IL 60133 Ph: () - | Mr David Manuel Salas, LCSW 7375 Cumberland Dr, Hanover Park, IL 60133-2673 Ph: (773) 908-0454 |
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