Ryan Rogulich, LCSW in Carterville, IL - Medicare Social Worker Provider

Ryan Rogulich, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Carterville, Illinois. His current practice location is 6355 Brandhorst Rd, Carterville, Illinois. You can reach out to his office (for appointments etc.) via phone at (618) 519-9200.

Ryan Rogulich is licensed to practice in Illinois (license number 149.023720) 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 1427713403.

Contact Information

	Ryan Rogulich, LCSW
	6355 Brandhorst Rd, Carterville, IL 62918-3322
	(618) 519-9200
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ryan Rogulich
Gender	Male
Speciality	Social Worker - Clinical
Location	6355 Brandhorst Rd, Carterville, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1427713403
Provider Enumeration Date: 11/03/2021
Last Update Date: 09/07/2023

Medicare PECOS Information:

PECOS PAC ID: 2365896677
Enrollment ID: I20230920001989

Medical Identifiers

Medical identifiers for Ryan Rogulich such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427713403	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	149.023720 (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. Ryan Rogulich allows following entities to bill medicare on his behalf.

Entity Name	Shawnee Health Service And Development Corp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639295314 PECOS PAC ID: 1658285671 Enrollment ID: O20031120000454

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. Ryan Rogulich 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
Ryan Rogulich, LCSW 109 California St, Po Box 577, Carterville, IL 62918 Ph: (618) 519-9200	Ryan Rogulich, LCSW 6355 Brandhorst Rd, Carterville, IL 62918-3322 Ph: (618) 519-9200

Reviews and Comments

Social Worker in Carterville, IL

Teresa Annette Eblin, LSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 403 Municipal Dr, Carterville, IL 62918 Phone: 855-608-3560 Fax: 618-956-9349
Preston Simpson, MSW,LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 403 Municipal Dr, Carterville, IL 62918 Phone: 855-608-3560 Fax: 618-956-9349
Mrs. Susan Elain Frease, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 211 W Grand Ave, Carterville, IL 62918 Phone: 618-559-7372
Trisha Fuller, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 403 Municipal Dr, Carterville, IL 62918 Phone: 855-608-3560 Fax: 618-956-9349
Debora Rich, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 505 Canary Ln, Carterville, IL 62918 Phone: 618-499-0651
Connie E Deen, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1006 S Division St, Carterville, IL 62918 Phone: 618-985-4841 Fax: 618-985-8101

Ryan Rogulich, LCSW - Medicare Clinical Social Worker in Carterville, IL