Mr Raul Rodriguez, LCSW in Blue Island, IL - Medicare Social Worker Provider

Mr Raul Rodriguez, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Blue Island, Illinois. His current practice location is 12204 Gregory St, Blue Island, Illinois. You can reach out to his office (for appointments etc.) via phone at (708) 369-0960.

Mr Raul Rodriguez is licensed to practice in Illinois (license number 149017750) 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 1881360584.

Contact Information

	Mr Raul Rodriguez, LCSW
	12204 Gregory St, Blue Island, IL 60406-1318
	(708) 369-0960
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Raul Rodriguez
Gender	Male
Speciality	Social Worker - Clinical
Location	12204 Gregory St, Blue Island, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1881360584
Provider Enumeration Date: 08/21/2021
Last Update Date: 08/21/2021

Medicare PECOS Information:

PECOS PAC ID: 0244750206
Enrollment ID: I20250220001207

Medical Identifiers

Medical identifiers for Mr Raul Rodriguez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881360584	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	149017750 (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 Raul Rodriguez allows following entities to bill medicare on his behalf.

Entity Name	Beloved Community Family Wellness Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760408439 PECOS PAC ID: 0042216038 Enrollment ID: O20061016000042

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 Raul Rodriguez 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 Raul Rodriguez, LCSW 12204 Gregory St, Blue Island, IL 60406-1318 Ph: (708) 369-0960	Mr Raul Rodriguez, LCSW 12204 Gregory St, Blue Island, IL 60406-1318 Ph: (708) 369-0960

Reviews and Comments

Social Worker in Blue Island, IL

Ms. Juliet Ann Russom Walden, BS, AM, LSCW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 13136 Western Ave, Blue Island, IL 60406 Phone: 708-974-5800
Amanda Keenan, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3046 127th St, Blue Island, IL 60406 Phone: 708-377-7920 Fax: 708-930-0414
Kristen Hofman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 13136 Western Ave, Blue Island, IL 60406 Phone: 708-974-5800
Jessica Null, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12331 Gregory St, Blue Island, IL 60406 Phone: 708-489-7338
Mr. George Fay Henry Jr., LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12311 Meadow Ln, Unit 1b, Blue Island, IL 60406 Phone: 312-504-5560
Mr. Leo W Lavender, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 13811 Western Ave, Blue Island, IL 60406 Phone: 773-552-4120
Candace Clark, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 13136 Western Ave, Blue Island, IL 60406 Phone: 708-974-5864

Mr Raul Rodriguez, LCSW - Medicare Clinical Social Worker in Blue Island, IL