Thea Justine Rossmiller, MSW, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Lake Forest, Illinois. Her current practice location is
1025 W Everett Rd Ste 4, Lake Forest, Illinois. You can reach out to her office (for appointments etc.) via phone at
(309) 252-0683.
Thea Justine Rossmiller 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 1760121172.
Healthcare Provider's Profile
Full Name | Thea Justine Rossmiller |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 1025 W Everett Rd Ste 4, Lake Forest, 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: 1760121172
- Provider Enumeration Date: 06/02/2022
- Last Update Date: 08/04/2025
Medicare PECOS Information:
- PECOS PAC ID: 3577081322
- Enrollment ID: I20250515003188
Medical Identifiers
Medical identifiers for Thea Justine Rossmiller such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1760121172 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | 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. Thea Justine Rossmiller allows following entities to bill medicare on her behalf.
Entity Name | Inspire Counseling Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1295289726 PECOS PAC ID: 6800252669 Enrollment ID: O20230519002867 |
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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. Thea Justine Rossmiller 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 |
Thea Justine Rossmiller, MSW, LCSW 17894 W Braewick Rd, Gurnee, IL 60031-5207 Ph: (309) 252-0683 | Thea Justine Rossmiller, MSW, LCSW 1025 W Everett Rd Ste 4, Lake Forest, IL 60045-2668 Ph: (309) 252-0683 |
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