Mr David Vaccaro, MSW, LCSW in Carterville, IL - Medicare Clinical Social Worker Provider

Mr David Vaccaro, MSW, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Carterville, Illinois. He graduated from medical school in 2018 and has 6 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Shawnee Health Service And Development Corp and his current practice location is 1006 S Division St, Carterville, Illinois. You can reach out to his office (for appointments etc.) via phone at (618) 519-9200.

Mr David Vaccaro is licensed to practice in Illinois (license number 149022307) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1548852437.

Contact Information

	Mr David Vaccaro, MSW, LCSW
	1006 S Division St, Carterville, IL 62918-1539
	(618) 519-9200
	(618) 985-3774

Map and Direction

Healthcare Provider's Profile

Full Name	Mr David Vaccaro
Gender	Male
Speciality	Clinical Social Worker
Experience	6 Years
Location	1006 S Division St, Carterville, Illinois
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr David Vaccaro graduated from medical school in 2018

NPI Data:

NPI Number: 1548852437
Provider Enumeration Date: 02/11/2021
Last Update Date: 09/26/2022

Medicare PECOS Information:

PECOS PAC ID: 2961810122
Enrollment ID: I20210428001191

Medical Identifiers

Medical identifiers for Mr David Vaccaro such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548852437	NPI	-	NPPES
149022307	Other	IL	INDEPENDENT LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	149022307 (Illinois)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Shawnee Health Service And Development Corp	1658285671	38

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. Mr David Vaccaro allows following entities to bill medicare on his behalf.

Entity Name	Shawnee Health Service And Development Corp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639295314 PECOS PAC ID: 1658285671 Enrollment ID: O20031120000454

Entity Name	Southern Illinois Medical Services Nfp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770656837 PECOS PAC ID: 3678677390 Enrollment ID: O20070404000595

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. Mr David Vaccaro 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
Mr David Vaccaro, MSW, LCSW 109 California St, Po Box 577, Carterville, IL 62918 Ph: (618) 519-9200	Mr David Vaccaro, MSW, LCSW 1006 S Division St, Carterville, IL 62918-1539 Ph: (618) 519-9200

Reviews and Comments

Social Worker in Carterville, IL

Teresa Annette Eblin, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 403 Municipal Dr, Carterville, IL 62918 Phone: 855-608-3560 Fax: 618-956-9349
Preston Simpson, MSW,LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 403 Municipal Dr, Carterville, IL 62918 Phone: 855-608-3560 Fax: 618-956-9349
Mrs. Susan Elain Frease, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 211 W Grand Ave, Carterville, IL 62918 Phone: 618-559-7372
Trisha Fuller, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 403 Municipal Dr, Carterville, IL 62918 Phone: 855-608-3560 Fax: 618-956-9349
Debora Rich, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 505 Canary Ln, Carterville, IL 62918 Phone: 618-499-0651
Ryan Rogulich, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 6355 Brandhorst Rd, Carterville, IL 62918 Phone: 618-519-9200
Connie E Deen, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1006 S Division St, Carterville, IL 62918 Phone: 618-985-4841 Fax: 618-985-8101

Mr David Vaccaro, MSW, LCSW - Medicare Clinical Social Worker in Carterville, IL