Mr Robert J Smith, LCSW, CADC is a medicare enrolled "Social Worker - Clinical" provider in Chicago, Illinois. His current practice location is
2544 W Irving Park Rd Apt 1e, Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at
(773) 742-0740.
Mr Robert J Smith is licensed to practice in Illinois (license number 149015944) 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 1336790310.
Healthcare Provider's Profile
Full Name | Mr Robert J Smith |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 2544 W Irving Park Rd Apt 1e, Chicago, 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: 1336790310
- Provider Enumeration Date: 09/22/2019
- Last Update Date: 09/22/2019
Medicare PECOS Information:
- PECOS PAC ID: 2769814185
- Enrollment ID: I20191122001391
Medical Identifiers
Medical identifiers for Mr Robert J Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1336790310 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 27280 (Illinois) | Secondary |
1041C0700X | Social Worker - Clinical | 149015944 (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. Mr Robert J Smith allows following entities to bill medicare on his behalf.
Entity Name | Howard Brown Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1306048632 PECOS PAC ID: 1052203155 Enrollment ID: O20040325000526 |
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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. Mr Robert J Smith 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 |
Mr Robert J Smith, LCSW, CADC 2544 W Irving Park Rd Apt 1e, Chicago, IL 60618-3752 Ph: (773) 742-0740 | Mr Robert J Smith, LCSW, CADC 2544 W Irving Park Rd Apt 1e, Chicago, IL 60618-3752 Ph: (773) 742-0740 |
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