Ms Renata Shante Caldwell, LCPC, LSOTP in Belleville, IL

Ms Renata Shante Caldwell, LCPC, LSOTP is a medicare enrolled "Counselor - Professional" provider in Belleville, Illinois. Her current practice location is 2900 Frank Scott Pkwy W Ste 950, Belleville, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 233-3205.

Ms Renata Shante Caldwell is licensed to practice in Illinois (license number 180.015603) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1639942220.

Contact Information

	Ms Renata Shante Caldwell, LCPC, LSOTP
	2900 Frank Scott Pkwy W Ste 950, Belleville, IL 62223-5010
	(618) 233-3205
	(618) 233-1407

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Renata Shante Caldwell
Gender	Female
Speciality	Counselor - Professional
Location	2900 Frank Scott Pkwy W Ste 950, Belleville, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639942220
Provider Enumeration Date: 11/06/2023
Last Update Date: 04/26/2024

Medicare PECOS Information:

PECOS PAC ID: 5496194441
Enrollment ID: I20240423003748

Medical Identifiers

Medical identifiers for Ms Renata Shante Caldwell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639942220	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	270.000208 (Illinois)	Secondary
101YP2500X	Counselor - Professional	180.015603 (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. Ms Renata Shante Caldwell allows following entities to bill medicare on her behalf.

Entity Name	Southern Illinois Healthcare Foundation, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013198712 PECOS PAC ID: 1456256874 Enrollment ID: O20031126000641

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. Ms Renata Shante Caldwell 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
Ms Renata Shante Caldwell, LCPC, LSOTP 2900 Frank Scott Pkwy W Ste 950, Belleville, IL 62223-5010 Ph: (618) 233-3205	Ms Renata Shante Caldwell, LCPC, LSOTP 2900 Frank Scott Pkwy W Ste 950, Belleville, IL 62223-5010 Ph: (618) 233-3205

Reviews and Comments

Counselor in Belleville, IL

Matthew Steven Adams, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 900 Royal Heights Rd, Belleville, IL 62226 Phone: 618-660-6593
Tiana M Shear, MS. ED., QMHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 900 Royal Heights Rd Ste 1250, Belleville, IL 62226 Phone: 618-688-1132
Arlinda Louise Jones-abekasis, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 12 N 64th St, Belleville, IL 62223 Phone: 618-397-0900 Fax: 618-397-4368
Courtney Anne Cannes, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 12 N 64th St, Belleville, IL 62223 Phone: 618-877-9530 Fax: 618-397-4503
Jocelyn Acoff, MA, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5720 N Belt W Ste 303, Belleville, IL 62226 Phone: 314-399-9253
Rachel Leann Hodge, MSW Counselor Medicare: May Accept Medicare Assignments Practice Location: 12 N 64th St, Belleville, IL 62223 Phone: 618-877-4420
Ms. Mary Kathleen Gibbons, L.C.P.C Counselor Medicare: Not Enrolled in Medicare Practice Location: 2900 Frank Scott Pkwy W Ste 204, Belleville, IL 62223 Phone: 618-398-9850 Fax: 618-398-9849

Ms Renata Shante Caldwell, LCPC, LSOTP - Medicare Counselor in Belleville, IL