Theresa Hefner, LCSW - Medicare Clinical Social Worker in Downers Grove, IL

Theresa Hefner, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Downers Grove, Illinois. Her current practice location is 5151 Mochel Dr Ste 304, Downers Grove, Illinois. You can reach out to her office (for appointments etc.) via phone at (630) 343-9396.

Theresa Hefner is licensed to practice in Illinois (license number 149024229) 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 1528706090.

Contact Information

Theresa Hefner, LCSW
5151 Mochel Dr Ste 304,
Downers Grove, IL 60515-5078
(630) 343-9396
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameTheresa Hefner
GenderFemale
SpecialitySocial Worker - Clinical
Location5151 Mochel Dr Ste 304, Downers Grove, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1528706090
  • Provider Enumeration Date: 05/24/2022
  • Last Update Date: 05/09/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8921470535
  • Enrollment ID: I20230208001083

Medical Identifiers

Medical identifiers for Theresa Hefner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528706090NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 149024229 (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. Theresa Hefner allows following entities to bill medicare on her behalf.
Entity NameEmh Dupage Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164179529
PECOS PAC ID: 0941687487
Enrollment ID: O20220523000388

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. Theresa Hefner 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 AddressPractice Location Address
Theresa Hefner, LCSW
5151 Mochel Dr Ste 304,
Downers Grove, IL 60515-5078

Ph: () -
Theresa Hefner, LCSW
5151 Mochel Dr Ste 304,
Downers Grove, IL 60515-5078

Ph: (630) 343-9396

Reviews and Comments


Social Worker in Downers Grove, IL

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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