Mr Roger Patrick Northway, MS LCSW in Brookfield, WI

Mr Roger Patrick Northway, MS LCSW is a medicare enrolled "Counselor - Professional" provider in Brookfield, Wisconsin. His current practice location is 13105 W Bluemound Rd, Suite 100, Brookfield, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 641-9790.

Mr Roger Patrick Northway is licensed to practice in Wisconsin (license number 477125) 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 1053449173.

Contact Information

	Mr Roger Patrick Northway, MS LCSW
	13105 W Bluemound Rd, Suite 100, Brookfield, WI 53005-8046
	(262) 641-9790
	(262) 641-9791

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Roger Patrick Northway
Gender	Male
Speciality	Counselor - Professional
Location	13105 W Bluemound Rd, Brookfield, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053449173
Provider Enumeration Date: 03/01/2007
Last Update Date: 09/11/2025

Medicare PECOS Information:

PECOS PAC ID: 8729011374
Enrollment ID: I20220531002418

Medical Identifiers

Medical identifiers for Mr Roger Patrick Northway such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053449173	NPI	-	NPPES
39197200	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	477125 (Wisconsin)	Primary
1041C0700X	Social Worker - Clinical	2661123 (Wisconsin)	Secondary

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. Mr Roger Patrick Northway allows following entities to bill medicare on his behalf.

Entity Name	Pathways Counseling Center Ii Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942490438 PECOS PAC ID: 7315970969 Enrollment ID: O20050914000444

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. Mr Roger Patrick Northway 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
Mr Roger Patrick Northway, MS LCSW 13105 W Bluemound Rd, Suite 100, Brookfield, WI 53005-8046 Ph: (262) 641-9790	Mr Roger Patrick Northway, MS LCSW 13105 W Bluemound Rd, Suite 100, Brookfield, WI 53005-8046 Ph: (262) 641-9790

Reviews and Comments

Counselor in Brookfield, WI

Brittany Marie Pichette, LPC Counselor Medicare: Medicare Enrolled Practice Location: 16535 W Bluemound Rd Ste 200, Brookfield, WI 53005 Phone: 262-999-3495
Kristen Stodola, Counselor Medicare: Medicare Enrolled Practice Location: 17100 W North Ave, Brookfield, WI 53005 Phone: 262-244-6177
Ann Elizabeth Brunner, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 16655 W Bluemound Rd Ste 330, Brookfield, WI 53005 Phone: 262-786-9184 Fax: 262-786-1906
Ana G Mendoza, Counselor Medicare: Not Enrolled in Medicare Practice Location: 15400 W Capitol Dr Ste 105, Brookfield, WI 53005 Phone: 414-367-9155
Emily Kathryn Olson, ATR, LPC Counselor Medicare: Medicare Enrolled Practice Location: 12630 W North Ave Bldg E, Brookfield, WI 53005 Phone: 262-785-1008
Susan Marie Condon, Counselor Medicare: Medicare Enrolled Practice Location: 18000 W Sarah Ln, Brookfield, WI 53045 Phone: 262-267-8560
Leah K Stadel, Counselor Medicare: Medicare Enrolled Practice Location: 16535 W Bluemound Rd Ste 305, Brookfield, WI 53005 Phone: 800-438-1772 Fax: 262-345-5562

Mr Roger Patrick Northway, MS LCSW - Medicare Counselor in Brookfield, WI