Ms Roxanne Halczak, LCSW/MSW is a medicare enrolled "Social Worker - Clinical" provider in Eureka, California. Her current practice location is
1711 3rd St, Eureka, California. You can reach out to her office (for appointments etc.) via phone at
(707) 268-2800.
Ms Roxanne Halczak is licensed to practice in California (license number 20799) 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 1396749230.
Healthcare Provider's Profile
| Full Name | Ms Roxanne Halczak |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 1711 3rd St, Eureka, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1396749230
- Provider Enumeration Date: 06/09/2005
- Last Update Date: 10/19/2010
Medicare PECOS Information:
- PECOS PAC ID: 2769507342
- Enrollment ID: I20100920000752
Medical Identifiers
Medical identifiers for Ms Roxanne Halczak such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1396749230 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101Y00000X | Counselor | LCS 20799 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | 20799 (California) | 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 Roxanne Halczak allows following entities to bill medicare on her behalf.
| Entity Name | County Of Humboldt |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1871676213
PECOS PAC ID: 4082516950
Enrollment ID: O20040121001146 |
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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. Ms Roxanne Halczak 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 |
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Ms Roxanne Halczak, LCSW/MSW
1711 3rd St,
Eureka, CA 95501-0714
Ph: (707) 268-2800 | Ms Roxanne Halczak, LCSW/MSW
1711 3rd St,
Eureka, CA 95501-0714
Ph: (707) 268-2800 |
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