Susan Cupka Head, in Champaign, IL - Medicare Social Worker Provider

Susan Cupka Head, is a medicare enrolled "Social Worker - Clinical" provider in Champaign, Illinois. Her current practice location is 309 W Clark St, Champaign, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 398-9066.

Susan Cupka Head is licensed to practice in Illinois (license number 150.103018) 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 1811499924.

Contact Information

	Susan Cupka Head,
	309 W Clark St, Champaign, IL 61820-4637
	(217) 398-9066
	(217) 398-9077

Map and Direction

Healthcare Provider's Profile

Full Name	Susan Cupka Head
Gender	Female
Speciality	Social Worker - Clinical
Location	309 W Clark St, Champaign, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1811499924
Provider Enumeration Date: 03/05/2018
Last Update Date: 03/05/2018

Medicare PECOS Information:

PECOS PAC ID: 3375891955
Enrollment ID: I20180731000563

Medical Identifiers

Medical identifiers for Susan Cupka Head such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811499924	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	150.103018 (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. Susan Cupka Head allows following entities to bill medicare on her behalf.

Entity Name	Keri Powell Therapy Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174751663 PECOS PAC ID: 9638335532 Enrollment ID: O20120720000534

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. Susan Cupka Head 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
Susan Cupka Head, 407 E University Ave Ste D, Champaign, IL 61820-3865 Ph: () -	Susan Cupka Head, 309 W Clark St, Champaign, IL 61820-4637 Ph: (217) 398-9066

Reviews and Comments

Social Worker in Champaign, IL

Ms. Lisa Diane Barkstall, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1801 Fox Dr, Champaign, IL 61820 Phone: 217-398-8080
Ms. Jennifer Mcnair, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2503 Jordan Dr, Champaign, IL 61822 Phone: 224-688-8577 Fax: 217-600-7158
Kevin Joseph Elliott, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1807 S Neil St, Champaign, IL 61820 Phone: 815-878-5078
Mary Derbish, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 505 W University Ave Ste 202-203, Champaign, IL 61820 Phone: 224-232-8057
Macey Lyn Jones, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 N Chestnut St Ste 225, Champaign, IL 61820 Phone: 217-202-9506 Fax: 217-355-1255
Erica Kay Tonn, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4006 Pinecrest Dr, Champaign, IL 61822 Phone: 217-552-7964
Rose St Clair, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 701 Devonshire Dr Ste D-2b, Champaign, IL 61820 Phone: 312-854-9661

Susan Cupka Head, - Medicare Clinical Social Worker in Champaign, IL