Charis Allen, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Dixon, Illinois. Her current practice location is
325 Il Route 2, Dixon, Illinois. You can reach out to her office (for appointments etc.) via phone at
(815) 284-6611.
Charis Allen is licensed to practice in Illinois (license number 149.025650) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1316395346.
Healthcare Provider's Profile
| Full Name | Charis Allen |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 325 Il Route 2, Dixon, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1316395346
- Provider Enumeration Date: 05/31/2016
- Last Update Date: 06/06/2023
Medicare PECOS Information:
- PECOS PAC ID: 7214395953
- Enrollment ID: I20230628000604
Medical Identifiers
Medical identifiers for Charis Allen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1316395346 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 35231 (Illinois) | Secondary |
| 1041C0700X | Social Worker - Clinical | 149.025650 (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. Charis Allen allows following entities to bill medicare on her behalf.
| Entity Name | Sinnissippi Centers Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1407143837
PECOS PAC ID: 3476459876
Enrollment ID: O20031208000895 |
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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. Charis Allen 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 |
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Charis Allen, LCSW
3100 Rock Dr,
Rock Falls, IL 61071-2136
Ph: (815) 718-3808 | Charis Allen, LCSW
325 Il Route 2,
Dixon, IL 61021-9118
Ph: (815) 284-6611 |
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