Jack Richey, LCSW in Danville, IL - Medicare Social Worker Provider

Jack Richey, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Danville, Illinois. His current practice location is 311 W.fairchild Street, Psychiatry/psychology, Danville, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 431-7898.

Jack Richey is licensed to practice in Illinois (license number 149004431) 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 1225121510.

Contact Information

	Jack Richey, LCSW
	311 W.fairchild Street, Psychiatry/psychology, Danville, IL 61832
	(217) 431-7898
	(217) 431-7634

Healthcare Provider's Profile

Full Name	Jack Richey
Gender	Male
Speciality	Social Worker - Clinical
Location	311 W.fairchild Street, Danville, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1225121510
Provider Enumeration Date: 10/01/2006
Last Update Date: 05/12/2014

Medicare PECOS Information:

PECOS PAC ID: 7315913712
Enrollment ID: I20040908000038

Medical Identifiers

Medical identifiers for Jack Richey such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225121510	NPI	-	NPPES
0533210001	Other		DMERC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	149004431 (Illinois)	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. Jack Richey allows following entities to bill medicare on his behalf.

Entity Name	Hoopeston Community Memorial Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366480873 PECOS PAC ID: 3577456037 Enrollment ID: O20040210000011

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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. Jack Richey 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
Jack Richey, LCSW 611 W. Park St., Bwpc, Urbana, IL 61801-2500 Ph: (217) 383-6792	Jack Richey, LCSW 311 W.fairchild Street, Psychiatry/psychology, Danville, IL 61832 Ph: (217) 431-7898

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Social Worker in Danville, IL

Selahattin Gokturk, M.A Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1900 E Main St, Danville, IL 61832 Phone: 217-554-3000
Ms. Elissa Jo Fortna, MSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1900 E Main St, Danville, IL 61832 Phone: 217-554-5133
Ms. Christina Rita Melikyan, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1900 E Main St, Danville, IL 61832 Phone: 217-554-3000 Fax: 217-554-4813
Mr. Andrew Le Nguyen, MSW, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1900 E Main St, Danville, IL 61832 Phone: 217-554-3000 Fax: 217-554-4816
Ms. Sarah Ellen Nixon, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1900 E Main St, Danville, IL 61832 Phone: 217-554-5527 Fax: 217-554-4813
Ms. Lisa Anne Smith, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 210 Avenue C, Danville, IL 61832 Phone: 217-442-3200 Fax: 217-442-7460
Mr. Thomas Dale Clay, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1900 E Main St, Building 116, 162a, Danville, IL 61832 Phone: 217-554-3000

Jack Richey, LCSW - Medicare Clinical Social Worker in Danville, IL

Contact Information

Healthcare Provider's Profile

Medical Identifiers

Medical Taxonomies and Licenses

Medicare Reassignments

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Medicare Part D Prescriber Enrollment

Mailing Address and Practice Location

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Social Worker in Danville, IL