Patricia S Correa-illidge, LSW in Philadelphia, PA

Patricia S Correa-illidge, LSW is a medicare enrolled "Counselor - Mental Health" provider in Philadelphia, Pennsylvania. Her current practice location is 4510 Frankford Ave, 2nd Floor, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 831-9882.

Patricia S Correa-illidge is licensed to practice in Pennsylvania (license number SW008617L) 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 1598715179.

Contact Information

	Patricia S Correa-illidge, LSW
	4510 Frankford Ave, 2nd Floor, Philadelphia, PA 19124-3602
	(215) 831-9882
	(215) 831-9887

Map and Direction

Healthcare Provider's Profile

Full Name	Patricia S Correa-illidge
Gender	Female
Speciality	Counselor - Mental Health
Location	4510 Frankford Ave, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1598715179
Provider Enumeration Date: 05/12/2006
Last Update Date: 11/01/2015

Medicare PECOS Information:

PECOS PAC ID: 0143642462
Enrollment ID: I20200615002545

Medical Identifiers

Medical identifiers for Patricia S Correa-illidge such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598715179	NPI	-	NPPES
001663401	Other	PA	INDEPENDENCE BLUE CROSS
455792000	Other	PA	MAGELLAN MIS #

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	SW008617L (Pennsylvania)	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. Patricia S Correa-illidge allows following entities to bill medicare on her behalf.

Entity Name	Greater Philadelphia Health Action Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205140902 PECOS PAC ID: 9537064977 Enrollment ID: O20110602000389

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. Patricia S Correa-illidge 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
Patricia S Correa-illidge, LSW 432 N 6th St, Philadelphia, PA 19123-4004 Ph: (215) 925-2400	Patricia S Correa-illidge, LSW 4510 Frankford Ave, 2nd Floor, Philadelphia, PA 19124-3602 Ph: (215) 831-9882

Reviews and Comments

Counselor in Philadelphia, PA

Dr. Larisa Surenovna Dzhavakova, M.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1701 A Grant Ave, Philadelphia, PA 19115 Phone: 215-464-3838 Fax: 215-464-3899
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Mr. David Joel Silbermann, M.ED, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 8001 Roosevelt Blvd, Suite 205-207, Philadelphia, PA 19152 Phone: 215-332-1914 Fax: 215-332-1873
Ms. Nicole Ivory Goicuria, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2514 N Broad St, Philadelphia, PA 19132 Phone: 215-599-2808 Fax: 215-599-1041
Lori L Reyes, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 2927 N 5th St, Philadelphia, PA 19133 Phone: 484-221-9136 Fax: 484-221-9130
Gloria I Jimenez, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2152 N Front St, Philadelphia, PA 19122 Phone: 484-221-9136 Fax: 484-221-9130
Ms. Bernice B Tett, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1734 S Chadwick St, Philadelphia, PA 19145 Phone: 484-300-8699

Patricia S Correa-illidge, LSW - Medicare Counselor in Philadelphia, PA