Miss Roxana Marisol Servellon, LCSW, CASAC is a medicare enrolled "Social Worker - Clinical" provider in Roslyn, New York. She graduated from healthcare school in 2003 and has 22 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice North Shore-lij Medical Pc and her current practice location is
15 Bryant Ave, Roslyn, New York. You can reach out to her office (for appointments etc.) via phone at
(516) 547-8610.
Miss Roxana Marisol Servellon is licensed to practice in New York (license number 084222) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1477958676.
Healthcare Provider's Profile
| Full Name | Miss Roxana Marisol Servellon |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 22 Years |
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| Location | 15 Bryant Ave, Roslyn, New York |
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| Accepts Medicare Assignments | Yes. She 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:
- Miss Roxana Marisol Servellon graduated from medical school in 2003
NPI Data:
- NPI Number: 1477958676
- Provider Enumeration Date: 10/30/2014
- Last Update Date: 06/23/2017
Medicare PECOS Information:
- PECOS PAC ID: 7810333028
- Enrollment ID: I20240311002023
Medical Identifiers
Medical identifiers for Miss Roxana Marisol Servellon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1477958676 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 2-22379 (New York) | Secondary |
| 1041C0700X | Social Worker - Clinical | 084222 (New York) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| North Shore-lij Medical Pc | 3375701568 | 5625 |
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. Miss Roxana Marisol Servellon allows following entities to bill medicare on her behalf.
| Entity Name | North Shore-lij Medical Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1053688572
PECOS PAC ID: 3375701568
Enrollment ID: O20120220000262 |
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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. Miss Roxana Marisol Servellon 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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Miss Roxana Marisol Servellon, LCSW, CASAC
15 Bryant Ave,
Roslyn, NY 11576-1134
Ph: (516) 547-8610 | Miss Roxana Marisol Servellon, LCSW, CASAC
15 Bryant Ave,
Roslyn, NY 11576-1134
Ph: (516) 547-8610 |
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