Randolph Paul Andersen, LCSW in Wheaton, IL - Medicare Social Worker Provider

Randolph Paul Andersen, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Wheaton, Illinois. His current practice location is 128 S County Farm Rd Ste C, Wheaton, Illinois. You can reach out to his office (for appointments etc.) via phone at (630) 447-8818.

Randolph Paul Andersen is licensed to practice in Illinois (license number 149027573) 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 1083095392.

Contact Information

	Randolph Paul Andersen, LCSW
	128 S County Farm Rd Ste C, Wheaton, IL 60187-2400
	(630) 447-8818
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Randolph Paul Andersen
Gender	Male
Speciality	Social Worker - Clinical
Location	128 S County Farm Rd Ste C, Wheaton, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083095392
Provider Enumeration Date: 06/11/2015
Last Update Date: 09/05/2024

Medicare PECOS Information:

PECOS PAC ID: 8628452562
Enrollment ID: I20220830002321

Medical Identifiers

Medical identifiers for Randolph Paul Andersen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083095392	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	149027573 (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. Randolph Paul Andersen allows following entities to bill medicare on his behalf.

Entity Name	Community Reach Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316906886 PECOS PAC ID: 4284526971 Enrollment ID: O20040326001266

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. Randolph Paul Andersen 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
Randolph Paul Andersen, LCSW 128 S County Farm Rd Ste C, Wheaton, IL 60187-2400 Ph: (630) 447-8818	Randolph Paul Andersen, LCSW 128 S County Farm Rd Ste C, Wheaton, IL 60187-2400 Ph: (630) 447-8818

Reviews and Comments

Social Worker in Wheaton, IL

Kathryn P Bach, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 1608 Cavalier Ct, Wheaton, IL 60189 Phone: 630-561-6070
Mark Charles Macdonald, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 600 W Roosevelt Rd, Suite A2, Wheaton, IL 60187 Phone: 630-462-8810 Fax: 630-462-8820
Mrs. Molly Alice Ryan Wollenweber, LCSW, CADC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 128 S County Farm Rd Ste C, Wheaton, IL 60187 Phone: 630-423-2350
Mr. Kenton James Withrow, LCSW, CADC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1530 N Main St, Wheaton, IL 60187 Phone: 630-653-6400 Fax: 630-653-6490
Maria Guadalupe Echeverria, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 222 E Willow Ave, Wheaton, IL 60187 Phone: 630-784-4805
Mrs. Kelly Elizabeth Reilly, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 112 N Erie St, Wheaton, IL 60187 Phone: 630-518-1545

Randolph Paul Andersen, LCSW - Medicare Clinical Social Worker in Wheaton, IL