Rosetta Maria Deloof-primmer, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Michigan City, Indiana. Her current practice location is
450 Saint John Rd, Michigan City, Indiana. You can reach out to her office (for appointments etc.) via phone at
(219) 879-0676.
Rosetta Maria Deloof-primmer is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1063751790.
Healthcare Provider's Profile
| Full Name | Rosetta Maria Deloof-primmer |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 450 Saint John Rd, Michigan City, Indiana |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1063751790
- Provider Enumeration Date: 01/31/2013
- Last Update Date: 05/22/2025
Medicare PECOS Information:
- PECOS PAC ID: 9931332723
- Enrollment ID: I20140501000877
Medical Identifiers
Medical identifiers for Rosetta Maria Deloof-primmer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063751790 | NPI | - | NPPES |
| 100163580A | Medicaid | IN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 34006887A (Indiana) | Secondary |
| 104100000X | Social Worker | 33006230A (Indiana) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | 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. Rosetta Maria Deloof-primmer allows following entities to bill medicare on her behalf.
| Entity Name | Meridian Health Services Corp |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1992755490
PECOS PAC ID: 5597679845
Enrollment ID: O20031119000531 |
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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. Rosetta Maria Deloof-primmer 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 |
|---|
Rosetta Maria Deloof-primmer, LCSW
8239 E Walnut Rdg,
New Carlisle, IN 46552-9075
Ph: (574) 276-9571 | Rosetta Maria Deloof-primmer, LCSW
450 Saint John Rd,
Michigan City, IN 46360-7354
Ph: (219) 879-0676 |
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