Christopher Matic Roque, LCSW is a medicare enrolled "Social Worker - Clinical" provider in San Francisco, California. His current practice location is
1234 Indiana St, San Francisco, California. You can reach out to his office (for appointments etc.) via phone at
(415) 282-9675.
Christopher Matic Roque is licensed to practice in New York (license number 085656) 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 1558696393.
Healthcare Provider's Profile
| Full Name | Christopher Matic Roque |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 1234 Indiana St, San Francisco, California |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1558696393
- Provider Enumeration Date: 10/13/2009
- Last Update Date: 06/21/2017
Medicare PECOS Information:
- PECOS PAC ID: 2769856780
- Enrollment ID: I20230314002949
Medical Identifiers
Medical identifiers for Christopher Matic Roque such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1558696393 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 085656 (New York) | 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. Christopher Matic Roque allows following entities to bill medicare on his behalf.
| Entity Name | Park Slope Center For Mental Health Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1851382188
PECOS PAC ID: 8224936455
Enrollment ID: O20031226000202 |
|---|
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. Christopher Matic Roque 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 |
|---|
Christopher Matic Roque, LCSW
487 St. Marks Avenue, Apt 3lr,
Brooklyn, NY 11238
Ph: (925) 768-5713 | Christopher Matic Roque, LCSW
1234 Indiana St,
San Francisco, CA 94107-3406
Ph: (415) 282-9675 |
Reviews and Comments