Miss Mary Mims, in Homewood, IL - Medicare Social Worker Provider

Miss Mary Mims, is a medicare enrolled "Social Worker - Clinical" provider in Homewood, Illinois. Her current practice location is 1051 185th St, Homewood, Illinois. You can reach out to her office (for appointments etc.) via phone at (708) 903-7689.

Miss Mary Mims is licensed to practice in Indiana (license number 34006323A) 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 1174989016.

Contact Information

	Miss Mary Mims,
	1051 185th St, Homewood, IL 60430-3509
	(708) 903-7689
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Miss Mary Mims
Gender	Female
Speciality	Social Worker - Clinical
Location	1051 185th St, Homewood, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174989016
Provider Enumeration Date: 01/07/2016
Last Update Date: 05/11/2020

Medicare PECOS Information:

PECOS PAC ID: 5496178204
Enrollment ID: I20200713002854

Medical Identifiers

Medical identifiers for Miss Mary Mims such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174989016	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	149022074 (Illinois)	Secondary
1041C0700X	Social Worker - Clinical	34006323A (Indiana)	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. Miss Mary Mims allows following entities to bill medicare on her behalf.

Entity Name	Blue Moon Senior Counseling Of Illinois Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841562931 PECOS PAC ID: 7012172893 Enrollment ID: O20120628000431

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. Miss Mary Mims 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
Miss Mary Mims, 1051 185th St, Homewood, IL 60430-3509 Ph: () -	Miss Mary Mims, 1051 185th St, Homewood, IL 60430-3509 Ph: (708) 903-7689

Reviews and Comments

Social Worker in Homewood, IL

Melissa Huff, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 17900 Dixie Hwy, Suite 11, Homewood, IL 60430 Phone: 708-546-9204
Susan Yacobellis, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2024 Hickory Rd, Suite 104, Homewood, IL 60430 Phone: 708-798-6823
Kathleen M Dalsanto, MSW,LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 18132 Martin Ave, Homewood, IL 60430 Phone: 708-957-3695 Fax: 708-957-3695
Raven Burns, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 900 Ridge Rd Ste 1s, Homewood, IL 60430 Phone: 708-637-1672
Ms. Rachel Sahtout, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 18161 Morris Ave Ste 102, Homewood, IL 60430 Phone: 708-349-5433 Fax: 708-349-5433
Ellen Agnes Wiggins, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 18154 Martin Ave, Suite 3, Homewood, IL 60430 Phone: 708-206-2755 Fax: 773-429-1841
Ms. Freda S. Hardaway, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 849 Maple Ave, Suite 905, Homewood, IL 60430 Phone: 708-799-5862

Miss Mary Mims, - Medicare Clinical Social Worker in Homewood, IL