Mel Roethlisberger, LSW is a medicare enrolled "Social Worker" provider in Sycamore, Illinois. His current practice location is
760 Foxpointe Dr, Sycamore, Illinois. You can reach out to his office (for appointments etc.) via phone at
(815) 748-8334.
Mel Roethlisberger is licensed to practice in * (Not Available) (license number 150.112518) 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 1982319851.
Healthcare Provider's Profile
| Full Name | Mel Roethlisberger |
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| Gender | Male |
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| Speciality | Social Worker |
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| Location | 760 Foxpointe Dr, Sycamore, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1982319851
- Provider Enumeration Date: 01/16/2023
- Last Update Date: 12/15/2023
Medicare PECOS Information:
- PECOS PAC ID: 0840771317
- Enrollment ID: I20260223002543
Medical Identifiers
Medical identifiers for Mel Roethlisberger such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1982319851 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | 150.112518 (* (Not Available)) | 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. Mel Roethlisberger 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 |
Mel Roethlisberger, LSW 760 Foxpointe Dr, Sycamore, IL 60178-3290 Ph: (815) 748-8334 | Mel Roethlisberger, LSW 760 Foxpointe Dr, Sycamore, IL 60178-3290 Ph: (815) 748-8334 |
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