Mr Stephen Randall Dwyer, is a medicare enrolled "Social Worker - Clinical" provider in Chatham, Illinois. He graduated from medical school in 2004 and has 22 years of diverse experience with area of expertise as Clinical Social Worker. His current practice location is
70 Axline Rd, Chatham, Illinois. You can reach out to his office (for appointments etc.) via phone at
(217) 638-8655.
Mr Stephen Randall Dwyer is licensed to practice in Illinois (license number 149.028280) 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 1487470886.
Healthcare Provider's Profile
| Full Name | Mr Stephen Randall Dwyer |
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| Gender | Male |
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| Speciality | Clinical Social Worker |
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| Experience | 22 Years |
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| Location | 70 Axline Rd, Chatham, Illinois |
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| 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 Stephen Randall Dwyer graduated from medical school in 2004
NPI Data:
- NPI Number: 1487470886
- Provider Enumeration Date: 12/02/2024
- Last Update Date: 02/18/2025
Medicare PECOS Information:
- PECOS PAC ID: 6103394234
- Enrollment ID: I20260507001154
Medical Identifiers
Medical identifiers for Mr Stephen Randall Dwyer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1487470886 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1041C0700X | Social Worker - Clinical | 149.028280 (Illinois) | Primary |
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 Stephen Randall Dwyer 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 Stephen Randall Dwyer, 70 Axline Rd, Chatham, IL 62629-1574 Ph: (217) 638-8655 | Mr Stephen Randall Dwyer, 70 Axline Rd, Chatham, IL 62629-1574 Ph: (217) 638-8655 |
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