Christine Louise Rosales, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Willimantic, Connecticut. Her current practice location is
40 Mansfield Ave, Willimantic, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(860) 450-0585.
Christine Louise Rosales is licensed to practice in Connecticut (license number 10377) 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 1710482104.
Healthcare Provider's Profile
| Full Name | Christine Louise Rosales |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 40 Mansfield Ave, Willimantic, Connecticut |
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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: 1710482104
- Provider Enumeration Date: 03/27/2018
- Last Update Date: 11/05/2018
Medicare PECOS Information:
- PECOS PAC ID: 7012251770
- Enrollment ID: I20181206001071
Medical Identifiers
Medical identifiers for Christine Louise Rosales such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1710482104 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | 8983656-3501 (Utah) | Secondary |
| 1041C0700X | Social Worker - Clinical | 10377 (Connecticut) | 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. Christine Louise Rosales allows following entities to bill medicare on her behalf.
| Entity Name | Generations Family Health Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1346228905
PECOS PAC ID: 4880640630
Enrollment ID: O20050324000979 |
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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. Christine Louise Rosales 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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Christine Louise Rosales, LCSW
40 Mansfield Ave,
Willimantic, CT 06226-2018
Ph: (860) 450-0585 | Christine Louise Rosales, LCSW
40 Mansfield Ave,
Willimantic, CT 06226-2018
Ph: (860) 450-0585 |
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