Mr Jeremy M Pitzer, LCSW in Mattoon, IL - Medicare Social Worker Provider

Mr Jeremy M Pitzer, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Mattoon, Illinois. His current practice location is 750 Broadway Ave E, Mattoon, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 238-5700.

Mr Jeremy M Pitzer is licensed to practice in Illinois (license number 149.011326) 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 1740348861.

Contact Information

	Mr Jeremy M Pitzer, LCSW
	750 Broadway Ave E, Mattoon, IL 61938-4610
	(217) 238-5700
	(217) 238-5767

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Jeremy M Pitzer
Gender	Male
Speciality	Social Worker - Clinical
Location	750 Broadway Ave E, Mattoon, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1740348861
Provider Enumeration Date: 12/04/2006
Last Update Date: 03/19/2009

Medicare PECOS Information:

PECOS PAC ID: 1254753346
Enrollment ID: I20231109001305

Medical Identifiers

Medical identifiers for Mr Jeremy M Pitzer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740348861	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	149.011326 (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 Jeremy M Pitzer allows following entities to bill medicare on his behalf.

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220414000139

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 Jeremy M Pitzer 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 Jeremy M Pitzer, LCSW 750 Broadway Ave E, Mattoon, IL 61938-4610 Ph: (217) 238-5700	Mr Jeremy M Pitzer, LCSW 750 Broadway Ave E, Mattoon, IL 61938-4610 Ph: (217) 238-5700

Reviews and Comments

Social Worker in Mattoon, IL

Mrs. Rachel L Duhamell, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 750 Broadway Ave E, Mattoon, IL 61938 Phone: 217-238-5700 Fax: 217-238-5767
Theresa Mai Ditchfield, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 717 N 21st St, Mattoon, IL 61938 Phone: 910-987-9296
Jessica L. Kleiss, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 750 Broadway Ave E, Mattoon, IL 61938 Phone: 217-238-5700 Fax: 217-238-5767
Rachel Stuckey, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1000 Health Center Dr, Mattoon, IL 61938 Phone: 800-454-4055
Mrs. Hillarie Mieure, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 750 Broadway Ave E, Mattoon, IL 61938 Phone: 217-238-5700 Fax: 217-238-5767
Terra Lynn Ogle, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 750 Broadway Ave E, Mattoon, IL 61938 Phone: 217-238-5700 Fax: 217-238-5767
Ms. Kelli D Canada, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 911 Remington Rd Ste B, Mattoon, IL 61938 Phone: 217-234-3091 Fax: 217-543-2548

Mr Jeremy M Pitzer, LCSW - Medicare Clinical Social Worker in Mattoon, IL