Max-andre Isidore, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Chantilly, Virginia. He graduated from healthcare school in 2017 and has 9 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Director Of Finance-county Of Fairfax Va and his current practice location is
4213 Walney Rd, Chantilly, Virginia. You can reach out to his office (for appointments etc.) via phone at
(703) 502-7000.
Max-andre Isidore is licensed to practice in Virginia (license number 0904016452) 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 1124854187.
Healthcare Provider's Profile
| Full Name | Max-andre Isidore |
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| Gender | Male |
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| Speciality | Clinical Social Worker |
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| Experience | 9 Years |
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| Location | 4213 Walney Rd, Chantilly, Virginia |
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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. |
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Medical Education and Training:
- Max-andre Isidore graduated from medical school in 2017
NPI Data:
- NPI Number: 1124854187
- Provider Enumeration Date: 09/09/2024
- Last Update Date: 09/26/2024
Medicare PECOS Information:
- PECOS PAC ID: 4284166554
- Enrollment ID: I20241011003389
Medical Identifiers
Medical identifiers for Max-andre Isidore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1124854187 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101Y00000X | Counselor | 0904016452 (Virginia) | Secondary |
| 1041C0700X | Social Worker - Clinical | 0904016452 (Virginia) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Director Of Finance-county Of Fairfax Va | 9739136847 | 155 |
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. Max-andre Isidore allows following entities to bill medicare on his behalf.
| Entity Name | Director Of Finance-county Of Fairfax Va |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154356244
PECOS PAC ID: 9739136847
Enrollment ID: O20210319001688 |
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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. Max-andre Isidore 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 |
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Max-andre Isidore, LCSW
1020 Leckie St,
Portsmouth, VA 23704-1904
Ph: () - | Max-andre Isidore, LCSW
4213 Walney Rd,
Chantilly, VA 20151-2923
Ph: (703) 502-7000 |
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