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

Mr Roger Patrick Northway, MS LCSW is a medicare enrolled "Social Worker - Clinical" 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 2661123) 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

Healthcare Provider's Profile

Full NameMr Roger Patrick Northway
GenderMale
SpecialitySocial Worker - Clinical
Location13105 W Bluemound Rd, Brookfield, Wisconsin
Accepts Medicare AssignmentsMedicare 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: 07/08/2007
  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.
IdentifierTypeStateIssuer
1053449173NPI-NPPES
39197200MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YP2500XCounselor - Professional 477125 (Wisconsin)Primary
1041C0700XSocial Worker - Clinical 2661123 (Wisconsin)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. Mr Roger Patrick Northway allows following entities to bill medicare on his behalf.
Entity NamePathways Counseling Center Ii Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942490438
PECOS PAC ID: 7315970969
Enrollment ID: O20050914000444

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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. 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 AddressPractice 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

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Social Worker in Brookfield, WI


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