Mrs Evelyn M Connelly, LCSW in St Charles, IL - Medicare Clinical Social Worker Provider

Mrs Evelyn M Connelly, LCSW is a medicare enrolled "Social Worker - Clinical" provider in St Charles, Illinois. She graduated from medical school in 2011 and has 13 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice David Goodman Phd Psychologist Ltd and her current practice location is 405 Illinois Ave Unit 2c, St Charles, Illinois. You can reach out to her office (for appointments etc.) via phone at (630) 377-3535.

Mrs Evelyn M Connelly is licensed to practice in Illinois (license number 149.017943) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1659655595.

Contact Information

	Mrs Evelyn M Connelly, LCSW
	405 Illinois Ave Unit 2c, St Charles, IL 60174-2963
	(630) 377-3535
	(630) 377-6703

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Evelyn M Connelly
Gender	Female
Speciality	Clinical Social Worker
Experience	13 Years
Location	405 Illinois Ave Unit 2c, St Charles, Illinois
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Evelyn M Connelly graduated from medical school in 2011

NPI Data:

NPI Number: 1659655595
Provider Enumeration Date: 10/10/2011
Last Update Date: 05/21/2024

Medicare PECOS Information:

PECOS PAC ID: 3678817848
Enrollment ID: I20181129002016

Medical Identifiers

Medical identifiers for Mrs Evelyn M Connelly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659655595	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	149.017943 (Illinois)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
David Goodman Phd Psychologist Ltd	7416909056	5

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. Mrs Evelyn M Connelly allows following entities to bill medicare on her behalf.

Entity Name	David Goodman Phd Psychologist Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659485878 PECOS PAC ID: 7416909056 Enrollment ID: O20050211000491

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. Mrs Evelyn M Connelly 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
Mrs Evelyn M Connelly, LCSW 405 Illinois Ave Unit 2c, St Charles, IL 60174-2963 Ph: (630) 377-3535	Mrs Evelyn M Connelly, LCSW 405 Illinois Ave Unit 2c, St Charles, IL 60174-2963 Ph: (630) 377-3535

Reviews and Comments

Social Worker in St Charles, IL

Nancy Robin Krtek, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 473 Dunham Rd, Suite 216, St Charles, IL 60174 Phone: 716-359-6402
Luz M Happel, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 405 Illinois Ave Unit 2c, St Charles, IL 60174 Phone: 630-377-3535 Fax: 630-377-6703
Jennifer Blandford, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 303 N 2nd St Ste 21, Suite 21, St Charles, IL 60174 Phone: 630-618-8887
Stephanie Santo, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 111 E Main St, St Charles, IL 60174 Phone: 630-587-3777
Stephanie Clorinda Stavropoulos, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3103 Easton Pl, St Charles, IL 60175 Phone: 630-806-6767
Mrs. Lauren Danae Matovu, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 303 N 2nd St Ste 21, St Charles, IL 60174 Phone: 630-797-9864
Mrs. Katherine D. Brosier, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 409 Illinois Ave Unit 1a, St Charles, IL 60174 Phone: 847-622-3812

Mrs Evelyn M Connelly, LCSW - Medicare Clinical Social Worker in St Charles, IL