Mr Robert O Butler, LCSW in Santa Rosa, CA - Medicare Social Worker Provider

Mr Robert O Butler, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Santa Rosa, California. His current practice location is 2455 Bennett Valley Rd Ste C210, #224, Santa Rosa, California. You can reach out to his office (for appointments etc.) via phone at (707) 523-8009.

Mr Robert O Butler is licensed to practice in California (license number LCS7338) 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 1093718454.

Contact Information

	Mr Robert O Butler, LCSW
	2455 Bennett Valley Rd Ste C210, #224, Santa Rosa, CA 95404-5671
	(707) 523-8009
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Robert O Butler
Gender	Male
Speciality	Social Worker - Clinical
Location	2455 Bennett Valley Rd Ste C210, Santa Rosa, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093718454
Provider Enumeration Date: 05/31/2005
Last Update Date: 06/30/2023

Medicare PECOS Information:

PECOS PAC ID: 8527002724
Enrollment ID: I20050617001007

Medical Identifiers

Medical identifiers for Mr Robert O Butler such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093718454	NPI	-	NPPES
FHC70957F	Medicaid	CA
FHC03887F	Medicaid	CA
1598786352	Medicaid	CA
1356344758	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LCS7338 (California)	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 Robert O Butler allows following entities to bill medicare on his behalf.

Entity Name	Relationship Center For Change A
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689014615 PECOS PAC ID: 2466693726 Enrollment ID: O20130729000762

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 Robert O Butler 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 Robert O Butler, LCSW 40 4th St, Ste. 224, Petaluma, CA 94952-3040 Ph: (707) 582-4975	Mr Robert O Butler, LCSW 2455 Bennett Valley Rd Ste C210, #224, Santa Rosa, CA 95404-5671 Ph: (707) 523-8009

Reviews and Comments

Social Worker in Santa Rosa, CA

Mrs. Erin O. Liiv, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1300 N Dutton Ave, Santa Rosa, CA 95401 Phone: 707-303-3600
Cristina Corey Schroen, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-571-2536
Karen Helene Littell, MSW, ASW, PPSC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 320 10th St Ste 200, Santa Rosa, CA 95401 Phone: 707-299-9132
Marcelle Dominguez, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 576 B St, Suite 1-b, Santa Rosa, CA 95401 Phone: 707-339-0398
Mrs. Paula D Shatkin, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1360 N Dutton Ave Ste C, Santa Rosa, CA 95401 Phone: 707-303-1531 Fax: 707-571-8195
David William Mcgahee, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 144 Stony Point Rd, Santa Rosa, CA 95401 Phone: 707-521-4545
Ms. Jo Ann Conant, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3841 Brickway Blvd, Santa Rosa, CA 95403 Phone: 707-569-2372

Mr Robert O Butler, LCSW - Medicare Clinical Social Worker in Santa Rosa, CA