Mr Douglas K Derhodes, LCSW in Western Springs, IL - Medicare Social Worker Provider

Mr Douglas K Derhodes, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Western Springs, Illinois. His current practice location is 822 Hillgrove Ave, Second Floor, Western Springs, Illinois. You can reach out to his office (for appointments etc.) via phone at (773) 969-6864.

Mr Douglas K Derhodes is licensed to practice in Illinois (license number 149.013400) 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 1568695385.

Contact Information

	Mr Douglas K Derhodes, LCSW
	822 Hillgrove Ave, Second Floor, Western Springs, IL 60558-1464
	(773) 969-6864
	(708) 300-9491

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Douglas K Derhodes
Gender	Male
Speciality	Social Worker - Clinical
Location	822 Hillgrove Ave, Western Springs, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568695385
Provider Enumeration Date: 08/27/2009
Last Update Date: 04/08/2017

Medicare PECOS Information:

PECOS PAC ID: 9032492400
Enrollment ID: I20170208002750

Medical Identifiers

Medical identifiers for Mr Douglas K Derhodes such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568695385	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	149.013400 (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. Mr Douglas K Derhodes allows following entities to bill medicare on his behalf.

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220414000139

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 Douglas K Derhodes 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 Douglas K Derhodes, LCSW 5351 N Ashland Ave, Unit 1, Chicago, IL 60640-2053 Ph: (773) 896-5876	Mr Douglas K Derhodes, LCSW 822 Hillgrove Ave, Second Floor, Western Springs, IL 60558-1464 Ph: (773) 969-6864

Reviews and Comments

Social Worker in Western Springs, IL

Amy Maura Lee, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 822 Hillgrove Ave, Western Springs, IL 60558 Phone: 708-246-4277
Carolyn Bonistalli, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4806 Fair Elms Ave, Western Springs, IL 60558 Phone: 708-732-0654
Mrs. Brooke Greco, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4727 Howard Ave, Western Springs, IL 60558 Phone: 847-917-1185
Ms. Julie Fallon, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4839 Wolf Rd, Western Springs, IL 60558 Phone: 708-829-1869
Cecilia Yasmine Rivera, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 822 Hillgrove Ave Ste 2, Western Springs, IL 60558 Phone: 872-254-3804
Cory James Grad, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1023 Burlington Ave, Western Springs, IL 60558 Phone: 708-995-3680
Mrs. Julie Hadler, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 1023 Burlington Ave, Western Springs, IL 60558 Phone: 708-745-5277

Mr Douglas K Derhodes, LCSW - Medicare Clinical Social Worker in Western Springs, IL