Ms Juanita C Matlock, LCSW in East Chicago, IN - Medicare Social Worker Provider

Ms Juanita C Matlock, LCSW is a medicare enrolled "Social Worker - Clinical" provider in East Chicago, Indiana. Her current practice location is 4321 Fir St, East Chicago, Indiana. You can reach out to her office (for appointments etc.) via phone at (219) 392-7469.

Ms Juanita C Matlock is licensed to practice in Illinois (license number 149.022186) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1144805151.

Contact Information

	Ms Juanita C Matlock, LCSW
	4321 Fir St, East Chicago, IN 46312
	(219) 392-7469
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Juanita C Matlock
Gender	Female
Speciality	Social Worker - Clinical
Location	4321 Fir St, East Chicago, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144805151
Provider Enumeration Date: 03/11/2021
Last Update Date: 02/22/2024

Medicare PECOS Information:

PECOS PAC ID: 9032528484
Enrollment ID: I20210514001360

Medical Identifiers

Medical identifiers for Ms Juanita C Matlock such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144805151	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	149.022186 (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. Ms Juanita C Matlock allows following entities to bill medicare on her 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: O20220510002320

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. Ms Juanita C Matlock 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
Ms Juanita C Matlock, LCSW 4321 Fir St, East Chicago, IN 46312 Ph: (219) 392-7469	Ms Juanita C Matlock, LCSW 4321 Fir St, East Chicago, IN 46312 Ph: (219) 392-7469

Reviews and Comments

Social Worker in East Chicago, IN

Ms. Cynthia R Bejster, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3903 Indianapolis Blvd, East Chicago, IN 46312 Phone: 219-392-6065 Fax: 219-392-6998
Gary Mitchell Ronjak, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3903 Indianapolis Blvd, East Chicago, IN 46312 Phone: 219-398-7050 Fax: 219-392-6998
Tonya L. Lindsay, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Po Box 3007, East Chicago, IN 46312 Phone: 219-218-3332
Angelia Marie Erb, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3903 Indianapolis Blvd, East Chicago, IN 46312 Phone: 219-398-7050 Fax: 219-392-6998
Rondi Wightman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3903 Indianapolis Blvd, East Chicago, IN 46312 Phone: 219-398-2555 Fax: 219-757-1950
Angela C Tucker-griffith, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4321 Fir St, East Chicago, IN 46312 Phone: 219-392-7466 Fax: 219-392-7470

Ms Juanita C Matlock, LCSW - Medicare Clinical Social Worker in East Chicago, IN