Max-andre Isidore, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Chantilly, Virginia. His current practice location is
4213 Walney Rd, Chantilly, Virginia. You can reach out to his office (for appointments etc.) via phone at
(703) 502-7000.
Max-andre Isidore is licensed to practice in Virginia (license number 0904016452) 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 1124854187.
Healthcare Provider's Profile
| Full Name | Max-andre Isidore |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 4213 Walney Rd, Chantilly, Virginia |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1124854187
- Provider Enumeration Date: 09/09/2024
- Last Update Date: 09/26/2024
Medicare PECOS Information:
- PECOS PAC ID: 4284166554
- Enrollment ID: I20241011003389
Medical Identifiers
Medical identifiers for Max-andre Isidore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124854187 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | 0904016452 (Virginia) | Secondary |
| 1041C0700X | Social Worker - Clinical | 0904016452 (Virginia) | 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. Max-andre Isidore allows following entities to bill medicare on his behalf.
| Entity Name | Director Of Finance-county Of Fairfax Va |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1154356244
PECOS PAC ID: 9739136847
Enrollment ID: O20210319001688 |
|---|
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. Max-andre Isidore 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 |
|---|
Max-andre Isidore, LCSW
1020 Leckie St,
Portsmouth, VA 23704-1904
Ph: () - | Max-andre Isidore, LCSW
4213 Walney Rd,
Chantilly, VA 20151-2923
Ph: (703) 502-7000 |
Reviews and Comments