Jorge Roman, is a medicare enrolled "Social Worker - Clinical" provider in Crystal Lake, Illinois. His current practice location is
650 Dakota St Ste A, Crystal Lake, Illinois. You can reach out to his office (for appointments etc.) via phone at
(815) 334-5018.
Jorge Roman is licensed to practice in Illinois (license number 149023741) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1003343096.
Healthcare Provider's Profile
Full Name | Jorge Roman |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 650 Dakota St Ste A, Crystal Lake, Illinois |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Jorge Roman attended and graduated from in
NPI Data:
- NPI Number: 1003343096
- Provider Enumeration Date: 05/22/2017
- Last Update Date: 04/12/2022
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Jorge Roman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1003343096 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 149023741 (Illinois) | Primary |
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. Jorge Roman 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 |
Jorge Roman, 650 Dakota St Ste A, Crystal Lake, IL 60012-3744 Ph: (815) 334-5018 | Jorge Roman, 650 Dakota St Ste A, Crystal Lake, IL 60012-3744 Ph: (815) 334-5018 |
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