Viengkeo Chanthaloth- Phasouk, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Rockford, Illinois. She graduated from healthcare school in 2014 and has 10 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Aspen Counseling And Consulting Llc and her current practice location is
2704 N Main St, Rockford, Illinois. You can reach out to her office (for appointments etc.) via phone at
(815) 391-1000.
Viengkeo Chanthaloth- Phasouk is licensed to practice in Illinois (license number 149.022418) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1366920811.
Healthcare Provider's Profile
| Full Name | Viengkeo Chanthaloth- Phasouk |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 10 Years |
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| Location | 2704 N Main St, Rockford, Illinois |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Viengkeo Chanthaloth- Phasouk graduated from medical school in 2014
NPI Data:
- NPI Number: 1366920811
- Provider Enumeration Date: 08/06/2018
- Last Update Date: 08/13/2020
Medicare PECOS Information:
- PECOS PAC ID: 1153748447
- Enrollment ID: I20200901002564
Medical Identifiers
Medical identifiers for Viengkeo Chanthaloth- Phasouk such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1366920811 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 149.022418 (Illinois) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Aspen Counseling And Consulting Llc | 9335376805 | 8 |
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. Viengkeo Chanthaloth- Phasouk allows following entities to bill medicare on her behalf.
| Entity Name | Rosecrance Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013289446
PECOS PAC ID: 3779656582
Enrollment ID: O20130502000371 |
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| Entity Name | Aspen Counseling & Consulting Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1326288994
PECOS PAC ID: 9335376805
Enrollment ID: O20131209001589 |
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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. Viengkeo Chanthaloth- Phasouk 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 |
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Viengkeo Chanthaloth- Phasouk, LCSW
1021 N Mulford Rd,
Rockford, IL 61107-3877
Ph: () - | Viengkeo Chanthaloth- Phasouk, LCSW
2704 N Main St,
Rockford, IL 61103-3112
Ph: (815) 391-1000 |
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