Whitley B Hofer, is a medicare enrolled "Social Worker - Clinical" provider in Decatur, Illinois. Her current practice location is
151 N Main St, Decatur, Illinois. You can reach out to her office (for appointments etc.) via phone at
(217) 420-4776.
Whitley B Hofer is licensed to practice in Illinois (license number 149-022830) 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 1578186185.
Healthcare Provider's Profile
Full Name | Whitley B Hofer |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 151 N Main St, Decatur, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1578186185
- Provider Enumeration Date: 05/19/2020
- Last Update Date: 05/28/2022
Medicare PECOS Information:
- PECOS PAC ID: 0648663823
- Enrollment ID: I20220210002489
Medical Identifiers
Medical identifiers for Whitley B Hofer such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1578186185 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | 150-103995 (Illinois) | Secondary |
1041C0700X | Social Worker - Clinical | 149-022830 (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. Whitley B Hofer allows following entities to bill medicare on her behalf.
Entity Name | Heritage Behavioral Health Center, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1639231731 PECOS PAC ID: 0547208951 Enrollment ID: O20050418000456 |
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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. Whitley B Hofer 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 |
Whitley B Hofer, 151 N Main St, Decatur, IL 62523-1206 Ph: (217) 420-4776 | Whitley B Hofer, 151 N Main St, Decatur, IL 62523-1206 Ph: (217) 420-4776 |
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