Angela M Boswell, LCSW, CADC is a medicare enrolled "Social Worker - Clinical" provider in Hume, Illinois. Her current practice location is
181 Western Ave, Hume, Illinois. You can reach out to her office (for appointments etc.) via phone at
(217) 433-3453.
Angela M Boswell is licensed to practice in Illinois (license number 149.026119) 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 1467640086.
Healthcare Provider's Profile
Full Name | Angela M Boswell |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 181 Western Ave, Hume, 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: 1467640086
- Provider Enumeration Date: 10/09/2007
- Last Update Date: 12/04/2023
Medicare PECOS Information:
- PECOS PAC ID: 5597118703
- Enrollment ID: I20240124001518
Medical Identifiers
Medical identifiers for Angela M Boswell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1467640086 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 149.026119 (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. Angela M Boswell 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. Angela M Boswell 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 |
Angela M Boswell, LCSW, CADC 181 Western Ave, Hume, IL 61932-7201 Ph: (217) 433-3453 | Angela M Boswell, LCSW, CADC 181 Western Ave, Hume, IL 61932-7201 Ph: (217) 433-3453 |
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