Tabitha Ledbetter, LCSW in Evanston, IL - Medicare Social Worker Provider

Tabitha Ledbetter, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Evanston, Illinois. Her current practice location is 355 Ridge Ave Fl 2, Evanston, Illinois. You can reach out to her office (for appointments etc.) via phone at (847) 316-6262.

Tabitha Ledbetter is licensed to practice in Illinois (license number 149-014702) 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 1003102401.

Contact Information

	Tabitha Ledbetter, LCSW
	355 Ridge Ave Fl 2, Evanston, IL 60202-3328
	(847) 316-6262
	(847) 316-2214

Map and Direction

Healthcare Provider's Profile

Full Name	Tabitha Ledbetter
Gender	Female
Speciality	Social Worker - Clinical
Location	355 Ridge Ave Fl 2, Evanston, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003102401
Provider Enumeration Date: 06/23/2011
Last Update Date: 01/11/2023

Medicare PECOS Information:

PECOS PAC ID: 1850671538
Enrollment ID: I20161215001240

Medical Identifiers

Medical identifiers for Tabitha Ledbetter such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003102401	NPI	-	NPPES
149-014702	Other	IL	LCSW

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	149-014702 (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. Tabitha Ledbetter allows following entities to bill medicare on her behalf.

Entity Name	Presence Behavioral Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477622298 PECOS PAC ID: 7517864143 Enrollment ID: O20031212000734

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. Tabitha Ledbetter 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
Tabitha Ledbetter, LCSW 355 Ridge Ave Fl 2, Evanston, IL 60202-3328 Ph: (773) 517-2444	Tabitha Ledbetter, LCSW 355 Ridge Ave Fl 2, Evanston, IL 60202-3328 Ph: (847) 316-6262

Reviews and Comments

Social Worker in Evanston, IL

Kathleen Ann Valadez, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 355 Ridge Ave Fl 2, Evanston, IL 60202 Phone: 847-316-3703
Kathleen A. Bogie, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2143 Lincolnwood Dr, Evanston, IL 60201 Phone: 224-392-5467
Gabrielle Celia Stern, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2530 Crawford Ave Ste 207, Evanston, IL 60201 Phone: 847-732-5305
Susan Burkhardt, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1005 Mulford St, Evanston, IL 60202 Phone: 847-328-8207
Ellen Kenemore, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 708 Church St, Suite 227, Evanston, IL 60201 Phone: 847-491-0080 Fax: 847-251-1266
Nora Josephine Walsh, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 636 Church St Ste 507, Evanston, IL 60201 Phone: 847-409-6288

Tabitha Ledbetter, LCSW - Medicare Clinical Social Worker in Evanston, IL