Charles Raymond De Guzman Pasternak, MS, LCPC in Park Ridge, IL

Charles Raymond De Guzman Pasternak, MS, LCPC is a medicare enrolled "Counselor - Professional" provider in Park Ridge, Illinois. His current practice location is 1440 Renaissance Dr Ste 320, Park Ridge, Illinois. You can reach out to his office (for appointments etc.) via phone at (847) 759-9110.

Charles Raymond De Guzman Pasternak is licensed to practice in Illinois (license number 180.012047) 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 1598116618.

Contact Information

	Charles Raymond De Guzman Pasternak, MS, LCPC
	1440 Renaissance Dr Ste 320, Park Ridge, IL 60068-1471
	(847) 759-9110
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Charles Raymond De Guzman Pasternak
Gender	Male
Speciality	Counselor - Professional
Location	1440 Renaissance Dr Ste 320, Park Ridge, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1598116618
Provider Enumeration Date: 06/30/2016
Last Update Date: 10/10/2024

Medicare PECOS Information:

PECOS PAC ID: 7911449665
Enrollment ID: I20240610000669

Medical Identifiers

Medical identifiers for Charles Raymond De Guzman Pasternak such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598116618	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	76026 (Texas)	Secondary
101YP2500X	Counselor - Professional	180.012047 (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. Charles Raymond De Guzman Pasternak allows following entities to bill medicare on his behalf.

Entity Name	The Juniper Center Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902906324 PECOS PAC ID: 1557557725 Enrollment ID: O20101130000757

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. Charles Raymond De Guzman Pasternak 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
Charles Raymond De Guzman Pasternak, MS, LCPC 5315 N Clark St # 105, Chicago, IL 60640-2290 Ph: (847) 238-2945	Charles Raymond De Guzman Pasternak, MS, LCPC 1440 Renaissance Dr Ste 320, Park Ridge, IL 60068-1471 Ph: (847) 759-9110

Reviews and Comments

Counselor in Park Ridge, IL

Nicole C Potoski, LCPC CADC CODP I Counselor Medicare: Not Enrolled in Medicare Practice Location: 250 S Northwest Hwy Ste 110, Park Ridge, IL 60068 Phone: 888-428-7890
Ms. Nickoleta Merkouris, PSYD Counselor Medicare: Not Enrolled in Medicare Practice Location: 1440 Renaissance Dr Ste 320, Park Ridge, IL 60068 Phone: 847-759-9110 Fax: 224-985-2119
Anita Groll, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1580 N Northwest Hwy, Suite 111-g, Park Ridge, IL 60068 Phone: 708-925-3540
Mark Talaga, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 350 S Northwest Hwy, Suite 300, Park Ridge, IL 60068 Phone: 312-624-9815
Alexandra Therese Raske, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1580 N Northwest Hwy, Park Ridge, IL 60068 Phone: 847-299-3400
Nicole Varvarezos, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1440 Renaissance Dr Ste 320, Park Ridge, IL 60068 Phone: 847-759-9110
Tomasz Jurczak, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 250 S Northwest Hwy Ste 110, Park Ridge, IL 60068 Phone: 224-985-5824

Charles Raymond De Guzman Pasternak, MS, LCPC - Medicare Counselor in Park Ridge, IL