Tara Gustafson, LCSW in New Lenox, IL - Medicare Social Worker Provider

Tara Gustafson, LCSW is a medicare enrolled "Social Worker - Clinical" provider in New Lenox, Illinois. Her current practice location is 830 Willowfield Rd, New Lenox, Illinois. You can reach out to her office (for appointments etc.) via phone at (708) 359-6686.

Tara Gustafson is licensed to practice in Illinois (license number 149.017985) 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 1952859712.

Contact Information

	Tara Gustafson, LCSW
	830 Willowfield Rd, New Lenox, IL 60451-1520
	(708) 359-6686
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Tara Gustafson
Gender	Female
Speciality	Social Worker - Clinical
Location	830 Willowfield Rd, New Lenox, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1952859712
Provider Enumeration Date: 09/21/2016
Last Update Date: 09/21/2016

Medicare PECOS Information:

PECOS PAC ID: 8527432905
Enrollment ID: I20230327001173

Medical Identifiers

Medical identifiers for Tara Gustafson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952859712	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	149.017985 (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. Tara Gustafson allows following entities to bill medicare on her behalf.

Entity Name	Yusuf Salah, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982254850 PECOS PAC ID: 3577895176 Enrollment ID: O20191031001966

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. Tara Gustafson 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
Tara Gustafson, LCSW 830 Willowfield Rd, New Lenox, IL 60451-1520 Ph: (708) 358-6686	Tara Gustafson, LCSW 830 Willowfield Rd, New Lenox, IL 60451-1520 Ph: (708) 359-6686

Reviews and Comments

Social Worker in New Lenox, IL

Jessica Lynn Sredzinski, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 900 Carlyle Dr, New Lenox, IL 60451 Phone: 708-825-4340
Mrs. Teresa D'aversa, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1005 W Laraway Rd Ste 230, New Lenox, IL 60451 Phone: 815-570-9303 Fax: 866-950-9427
Christina M Hack, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 21701 Gougar Rd, New Lenox, IL 60451 Phone: 815-717-3556
Julio Jose Ruiz, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 400 E Lincoln Hwy Ste 102, New Lenox, IL 60451 Phone: 779-707-3717
Richelle I Schneider, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 339 Alana Dr, New Lenox, IL 60451 Phone: 815-462-3827 Fax: 815-462-3837
Alyssa Faller, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2081 Calistoga Dr, New Lenox, IL 60451 Phone: 815-320-2410 Fax: 815-425-7123
Molly Schmitt, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 752 Wellington Pkwy, New Lenox, IL 60451 Phone: 779-233-7703

Tara Gustafson, LCSW - Medicare Clinical Social Worker in New Lenox, IL