Mr Robert O Butler, LCSW in Petaluma, CA - Medicare Social Worker Provider

Mr Robert O Butler, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Petaluma, California. His current practice location is 40 4th St Ste 224, Petaluma, California. You can reach out to his office (for appointments etc.) via phone at (707) 241-3003.

Mr Robert O Butler is licensed to practice in California (license number LCS7338) 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 1093718454.

Contact Information

	Mr Robert O Butler, LCSW
	40 4th St Ste 224, Petaluma, CA 94952-3040
	(707) 241-3003
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Robert O Butler
Gender	Male
Speciality	Social Worker - Clinical
Location	40 4th St Ste 224, Petaluma, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093718454
Provider Enumeration Date: 05/31/2005
Last Update Date: 05/11/2025

Medicare PECOS Information:

PECOS PAC ID: 8527002724
Enrollment ID: I20050617001007

Medical Identifiers

Medical identifiers for Mr Robert O Butler such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093718454	NPI	-	NPPES
FHC03887F	Medicaid	CA
1356344758	Medicaid	CA
1598786352	Medicaid	CA
FHC70957F	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LCS7338 (California)	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 Robert O Butler allows following entities to bill medicare on his behalf.

Entity Name	Relationship Center For Change A
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689014615 PECOS PAC ID: 2466693726 Enrollment ID: O20130729000762

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 Robert O Butler 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 Robert O Butler, LCSW 40 4th St, Ste. 224, Petaluma, CA 94952-3040 Ph: (707) 241-3003	Mr Robert O Butler, LCSW 40 4th St Ste 224, Petaluma, CA 94952-3040 Ph: (707) 241-3003

Reviews and Comments

Social Worker in Petaluma, CA

Ms. Judy B Iwanier, MSW, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 5 Keller St, # 2, Petaluma, CA 94952 Phone: 310-423-0736
Lorena Yanez-ramirez, ACSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1179 N Mcdowell Blvd, Petaluma, CA 94954 Phone: 707-559-7500
Mayra Gonzalez, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1179 N Mcdowell Blvd, Petaluma, CA 94954 Phone: 707-559-7500 Fax: 707-559-7620
Rebecca A Stanwyck, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: Po Box 2511, Petaluma, CA 94953 Phone: 510-881-2540
Marilyn Lee Jaffe, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 508 West St, Petaluma, CA 94952 Phone: 707-318-3912
Ms. Patricia Sue Yardley, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 7 4th St, Ste 62, Petaluma, CA 94952 Phone: 503-853-6847

Mr Robert O Butler, LCSW - Medicare Clinical Social Worker in Petaluma, CA