Robert Delisle, LCSW is a medicare enrolled "Social Worker" provider in Hayward, California. His current practice location is
590 B St, Hayward, California. You can reach out to his office (for appointments etc.) via phone at
(510) 247-8235.
Robert Delisle is licensed to practice in California (license number 85966) 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 1598194268.
Healthcare Provider's Profile
| Full Name | Robert Delisle |
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| Gender | Male |
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| Speciality | Social Worker |
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| Location | 590 B St, Hayward, 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: 1598194268
- Provider Enumeration Date: 11/04/2013
- Last Update Date: 12/30/2021
Medicare PECOS Information:
- PECOS PAC ID: 6507281425
- Enrollment ID: I20200810000160
Medical Identifiers
Medical identifiers for Robert Delisle such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1598194268 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | ASW67376 (California) | Secondary |
| 104100000X | Social Worker | 85966 (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. Robert Delisle allows following entities to bill medicare on his behalf.
| Entity Name | Permanente Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710 |
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| Entity Name | Bay Area Community Services Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1235349572
PECOS PAC ID: 5890028781
Enrollment ID: O20190607001798 |
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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. Robert Delisle 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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Robert Delisle, LCSW
390 40th St,
Oakland, CA 94609-2633
Ph: (510) 653-5040 | Robert Delisle, LCSW
590 B St,
Hayward, CA 94541-5004
Ph: (510) 247-8235 |
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