Samantha Kristine Traum, MSW, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Davis Junction, Illinois. Her current practice location is
306 Wolf Den Cir, Davis Junction, Illinois. You can reach out to her office (for appointments etc.) via phone at
(815) 217-6607.
Samantha Kristine Traum is licensed to practice in * (Not Available) (license number 149.026267) 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 1316799505.
Healthcare Provider's Profile
Full Name | Samantha Kristine Traum |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 306 Wolf Den Cir, Davis Junction, 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: 1316799505
- Provider Enumeration Date: 04/02/2024
- Last Update Date: 04/04/2024
Medicare PECOS Information:
- PECOS PAC ID: 8224570791
- Enrollment ID: I20240612000995
Medical Identifiers
Medical identifiers for Samantha Kristine Traum such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1316799505 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 149.026267 (* (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. Samantha Kristine Traum allows following entities to bill medicare on her behalf.
Entity Name | Blue Moon Senior Counseling Of Illinois Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1841562931 PECOS PAC ID: 7012172893 Enrollment ID: O20120628000431 |
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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. Samantha Kristine Traum 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 |
Samantha Kristine Traum, MSW, LCSW 306 Wolf Den Cir, Davis Junction, IL 61020-9428 Ph: (815) 217-6607 | Samantha Kristine Traum, MSW, LCSW 306 Wolf Den Cir, Davis Junction, IL 61020-9428 Ph: (815) 217-6607 |
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