Dr Robert Ross Farra, PHD is a medicare enrolled "Social Worker - Clinical" provider in Evanston, Illinois. His current practice location is
1123 Emerson St Ste 202, Evanston, Illinois. You can reach out to his office (for appointments etc.) via phone at
(474) 404-4348.
Dr Robert Ross Farra is licensed to practice in Illinois (license number 149010770) 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 1679559959.
Healthcare Provider's Profile
Full Name | Dr Robert Ross Farra |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 1123 Emerson St Ste 202, Evanston, 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: 1679559959
- Provider Enumeration Date: 12/19/2005
- Last Update Date: 01/29/2024
Medicare PECOS Information:
- PECOS PAC ID: 8224047634
- Enrollment ID: I20060412000699
Medical Identifiers
Medical identifiers for Dr Robert Ross Farra such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1679559959 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | 180005345 (Illinois) | Secondary |
1041C0700X | Social Worker - Clinical | 149010770 (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. Dr Robert Ross Farra allows following entities to bill medicare on his behalf.
Entity Name | Northshore University Healthsystem Faculty Practice Associates |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118 |
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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. Dr Robert Ross Farra 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 |
Dr Robert Ross Farra, PHD 1123 Emerson St Ste 202, Evanston, IL 60201-3100 Ph: (312) 607-8308 | Dr Robert Ross Farra, PHD 1123 Emerson St Ste 202, Evanston, IL 60201-3100 Ph: (474) 404-4348 |
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