Saher Imtiaz, LCSW is a medicare enrolled "Social Worker - Clinical" provider in St Charles, Illinois. She graduated from healthcare school in 2013 and has 12 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Endeavor Health Medical Group and her current practice location is
3805 E Main St Ste M, St Charles, Illinois. You can reach out to her office (for appointments etc.) via phone at
(630) 646-5200.
Saher Imtiaz is licensed to practice in Illinois (license number 149018927) 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 1568883825.
Healthcare Provider's Profile
| Full Name | Saher Imtiaz |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 12 Years |
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| Location | 3805 E Main St Ste M, St Charles, Illinois |
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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:
- Saher Imtiaz graduated from medical school in 2013
NPI Data:
- NPI Number: 1568883825
- Provider Enumeration Date: 01/03/2014
- Last Update Date: 05/01/2024
Medicare PECOS Information:
- PECOS PAC ID: 5496035222
- Enrollment ID: I20161213000876
Medical Identifiers
Medical identifiers for Saher Imtiaz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1568883825 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 149018927 (Illinois) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Endeavor Health Medical Group | 2163334699 | 3022 |
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. Saher Imtiaz allows following entities to bill medicare on her behalf.
| Entity Name | Edward Health Ventures |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1962452912
PECOS PAC ID: 4284531484
Enrollment ID: O20031216000616 |
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| Entity Name | Endeavor Health Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1497701882
PECOS PAC ID: 2163334699
Enrollment ID: O20040524000118 |
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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. Saher Imtiaz 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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Saher Imtiaz, LCSW
3805 E Main St Ste M,
St Charles, IL 60174-2487
Ph: (630) 646-5224 | Saher Imtiaz, LCSW
3805 E Main St Ste M,
St Charles, IL 60174-2487
Ph: (630) 646-5200 |
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