Dr Luis San Roman, LCPC in Lake Bluff, IL - Medicare Counselor Provider

Dr Luis San Roman, LCPC is a medicare enrolled "Counselor - Professional" provider in Lake Bluff, Illinois. His current practice location is 100 N Waukegan Rd Ste 204, Lake Bluff, Illinois. You can reach out to his office (for appointments etc.) via phone at (847) 821-9346.

Dr Luis San Roman is licensed to practice in Illinois (license number 18012203) 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 1124480595.

Contact Information

	Dr Luis San Roman, LCPC
	100 N Waukegan Rd Ste 204, Lake Bluff, IL 60044-1660
	(847) 821-9346
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Luis San Roman
Gender	Male
Speciality	Counselor - Professional
Location	100 N Waukegan Rd Ste 204, Lake Bluff, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124480595
Provider Enumeration Date: 03/24/2016
Last Update Date: 08/05/2022

Medicare PECOS Information:

PECOS PAC ID: 8325499072
Enrollment ID: I20240212001898

Medical Identifiers

Medical identifiers for Dr Luis San Roman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124480595	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	178011862 (Illinois)	Secondary
101YP2500X	Counselor - Professional	18012203 (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 Luis San Roman allows following entities to bill medicare on his behalf.

Entity Name	White Stone Partners Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801543616 PECOS PAC ID: 2163873803 Enrollment ID: O20240108003601

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 Luis San 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
Dr Luis San Roman, LCPC 100 N Waukegan Rd Ste 204, Lake Bluff, IL 60044-1660 Ph: (847) 821-9346	Dr Luis San Roman, LCPC 100 N Waukegan Rd Ste 204, Lake Bluff, IL 60044-1660 Ph: (847) 821-9346

Reviews and Comments

Counselor in Lake Bluff, IL

Mrs. Hope Mozo, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 N Waukegan Rd Ste 204, Lake Bluff, IL 60044 Phone: 847-821-9346
Ms. Ryanne R Bright, LCPC, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 900 N Shore Dr Ste 120, Lake Bluff, IL 60044 Phone: 847-615-1698 Fax: 847-615-1697
Luther Campbell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 N Waukegan Rd, Suite 204, Lake Bluff, IL 60044 Phone: 224-544-9167
Jennifer Calliss, L.C.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 21 N Skokie Hwy, Suite 203, Lake Bluff, IL 60044 Phone: 847-800-1167 Fax: 847-295-6176
Kysa R Epstein, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 900 North Shore Dr Ste 120, Lake Bluff, IL 60044 Phone: 847-615-1698 Fax: 847-615-1697
Michael T Johnson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 N Waukegan Rd Ste 204, Lake Bluff, IL 60044 Phone: 847-821-9346

Dr Luis San Roman, LCPC - Medicare Counselor in Lake Bluff, IL