Claude Ann Poupolos, MSW - Medicare Counselor in Gary, IN

Claude Ann Poupolos, MSW is a medicare enrolled "Social Worker" provider in Gary, Indiana. She graduated from healthcare school in 2002 and has 22 years of diverse experience with area of expertise as Clinical Social Worker. Her current practice location is 1100 W 6th Ave, Gary, Indiana. You can reach out to her office (for appointments etc.) via phone at (219) 885-4264.

Claude Ann Poupolos is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1063828879.

Contact Information

Claude Ann Poupolos, MSW
1100 W 6th Ave,
Gary, IN 46402-1711
(219) 885-4264
(219) 886-1332

Map and Direction


Healthcare Provider's Profile

Full NameClaude Ann Poupolos
GenderFemale
SpecialityClinical Social Worker
Experience22 Years
Location1100 W 6th Ave, Gary, Indiana
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Claude Ann Poupolos graduated from medical school in 2002
  NPI Data:
  • NPI Number: 1063828879
  • Provider Enumeration Date: 07/01/2014
  • Last Update Date: 07/01/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 6507133857
  • Enrollment ID: I20170517001714

Medical Identifiers

Medical identifiers for Claude Ann Poupolos such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063828879NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health (* (Not Available))Secondary
104100000XSocial Worker (* (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. Claude Ann Poupolos allows following entities to bill medicare on her behalf.
Entity NameCommunity Healthnet Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952332298
PECOS PAC ID: 6305852344
Enrollment ID: O20060228000318
Entity NameGemswithin
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043804750
PECOS PAC ID: 5890100986
Enrollment ID: O20210223002951
Entity NameRefresh In-home Counseling Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609365519
PECOS PAC ID: 8325397375
Enrollment ID: O20210513000708

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. Claude Ann Poupolos 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 AddressPractice Location Address
Claude Ann Poupolos, MSW
6055 Virginia St,
Merrillville, IN 46410-3035

Ph: (219) 779-0509
Claude Ann Poupolos, MSW
1100 W 6th Ave,
Gary, IN 46402-1711

Ph: (219) 885-4264

Reviews and Comments


Social Worker in Gary, IN


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.