Wanda Raquel Ortiz Hernandez, LCPC in Urbana, IL

Wanda Raquel Ortiz Hernandez, LCPC is a medicare enrolled "Counselor - Professional" provider in Urbana, Illinois. Her current practice location is 2001 Philo Rd, Urbana, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 552-1211.

Wanda Raquel Ortiz Hernandez is licensed to practice in Illinois (license number 180.015451) 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 1104506393.

Contact Information

	Wanda Raquel Ortiz Hernandez, LCPC
	2001 Philo Rd, Urbana, IL 61802-8007
	(217) 552-1211
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Wanda Raquel Ortiz Hernandez
Gender	Female
Speciality	Counselor - Professional
Location	2001 Philo Rd, Urbana, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104506393
Provider Enumeration Date: 07/21/2023
Last Update Date: 07/21/2023

Medicare PECOS Information:

PECOS PAC ID: 1153769534
Enrollment ID: I20240404001055

Medical Identifiers

Medical identifiers for Wanda Raquel Ortiz Hernandez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104506393	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	180.015451 (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. Wanda Raquel Ortiz Hernandez allows following entities to bill medicare on her behalf.

Entity Name	Kevin Elliott Counseling Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255357422 PECOS PAC ID: 0143226860 Enrollment ID: O20061019000433

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. Wanda Raquel Ortiz Hernandez 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
Wanda Raquel Ortiz Hernandez, LCPC 309 W Clark St, Champaign, IL 61820-4637 Ph: (217) 398-9066	Wanda Raquel Ortiz Hernandez, LCPC 2001 Philo Rd, Urbana, IL 61802-8007 Ph: (217) 552-1211

Reviews and Comments

Counselor in Urbana, IL

Nancy Suzanne Neukomm, CADC, LCPC, NCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2205 E University Ave, Suite A, Urbana, IL 61802 Phone: 217-841-5622 Fax: 217-367-1058
Mr. Stephen Lee Busick, MASTER OF ARTS IN CO Counselor Medicare: Not Enrolled in Medicare Practice Location: 511 W Green Street, The Christian Counseling Center, Urbana, IL 61801 Phone: 217-337-1700 Fax: 217-337-1713
Paula Barickman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 718 W Killarney St, Urbana, IL 61801 Phone: 217-328-4500
Atiyya N Thompson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2001 Philo Rd, Urbana, IL 61802 Phone: 217-398-9066 Fax: 217-398-9077
Michael Grant Scott, LPC Counselor Medicare: Medicare Enrolled Practice Location: 2001 Philo Rd, Urbana, IL 61802 Phone: 217-398-9066 Fax: 217-398-9077
Jennea Aileen Klingenberg, PSYD Counselor Medicare: Not Enrolled in Medicare Practice Location: 1709 Trails Dr, Urbana, IL 61802 Phone: 773-842-9520

Wanda Raquel Ortiz Hernandez, LCPC - Medicare Counselor in Urbana, IL