Christopher Poulakos, is a medicare enrolled "Social Worker - Clinical" provider in Naperville, Illinois. His current practice location is
1247 Rickert Dr Ste 201, Naperville, Illinois. You can reach out to his office (for appointments etc.) via phone at
(630) 357-7979.
Christopher Poulakos is licensed to practice in * (Not Available) (license number ) 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 1861869208.
Healthcare Provider's Profile
Full Name | Christopher Poulakos |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 1247 Rickert Dr Ste 201, Naperville, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1861869208
- Provider Enumeration Date: 09/01/2015
- Last Update Date: 04/20/2021
Medicare PECOS Information:
- PECOS PAC ID: 1759618770
- Enrollment ID: I20190813002365
Medical Identifiers
Medical identifiers for Christopher Poulakos such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1861869208 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | 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 Poulakos allows following entities to bill medicare on his behalf.
Entity Name | Advanced Behavioral Health Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1447545579 PECOS PAC ID: 0941463699 Enrollment ID: O20120517000077 |
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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. Christopher Poulakos 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 Poulakos, 1247 Rickert Dr Ste 201, Naperville, IL 60540-8213 Ph: () - | Christopher Poulakos, 1247 Rickert Dr Ste 201, Naperville, IL 60540-8213 Ph: (630) 357-7979 |
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