Madeline Rose Enervold, LCSW in Morris, IL - Medicare Social Worker Provider

Madeline Rose Enervold, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Morris, Illinois. Her current practice location is 1401 Lakewood Dr Ste A, Morris, Illinois. You can reach out to her office (for appointments etc.) via phone at (815) 942-6323.

Madeline Rose Enervold is licensed to practice in Illinois (license number 149.023978) 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 1528656147.

Contact Information

	Madeline Rose Enervold, LCSW
	1401 Lakewood Dr Ste A, Morris, IL 60450-3352
	(815) 942-6323
	(815) 941-0308

Map and Direction

Healthcare Provider's Profile

Full Name	Madeline Rose Enervold
Gender	Female
Speciality	Social Worker - Clinical
Location	1401 Lakewood Dr Ste A, Morris, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1528656147
Provider Enumeration Date: 01/08/2021
Last Update Date: 11/03/2023

Medicare PECOS Information:

PECOS PAC ID: 7810386497
Enrollment ID: I20211122000069

Medical Identifiers

Medical identifiers for Madeline Rose Enervold such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528656147	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	149.023978 (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. Madeline Rose Enervold allows following entities to bill medicare on her behalf.

Entity Name	Dupage Medical Group Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801833983 PECOS PAC ID: 5496667941 Enrollment ID: O20031110000535

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. Madeline Rose Enervold 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
Madeline Rose Enervold, LCSW Po Box 713260, Chicago, IL 60677-1260 Ph: (630) 469-9200	Madeline Rose Enervold, LCSW 1401 Lakewood Dr Ste A, Morris, IL 60450-3352 Ph: (815) 942-6323

Reviews and Comments

Social Worker in Morris, IL

Jennifer Christine Gromm, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4040 N Division St, Morris, IL 60450 Phone: 815-942-2128 Fax: 815-942-2128
Ms. Nanette Teausant-taller, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1802 Division St, Suite 310, Morris, IL 60450 Phone: 815-942-3405 Fax: 815-942-3418
Jaime Palacios, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1802 N Division St Ste 403, Morris, IL 60450 Phone: 815-993-1614
Danielle Ann Czajkowski, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1095 Twilight Dr, Morris, IL 60450 Phone: 815-942-5108
Amanda E Comer, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 237 W Waverly St, Morris, IL 60450 Phone: 815-941-0441 Fax: 815-941-0472
Mr. Yosri Y Hassan, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1401 Lakewood Dr, Suite A, Morris, IL 60450 Phone: 815-942-6323 Fax: 815-942-6423

Madeline Rose Enervold, LCSW - Medicare Clinical Social Worker in Morris, IL