Mrs Phyllis Ferguson Collum, LCSW - Medicare Counselor in Dolton, IL

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Mrs Phyllis Ferguson Collum, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Dolton, Illinois. Her current practice location is 15539 Dobson Ave, Dolton, Illinois. You can reach out to her office (for appointments etc.) via phone at (312) 810-5203.

Mrs Phyllis Ferguson Collum is licensed to practice in Illinois (license number 149015907) 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 1902202054.

Contact Information

Mrs Phyllis Ferguson Collum, LCSW
15539 Dobson Ave,
Dolton, IL 60419-2708
(312) 810-5203
(773) 654-3875

Map and Direction


Healthcare Provider's Profile

Full NameMrs Phyllis Ferguson Collum
GenderFemale
SpecialitySocial Worker - Clinical
Location15539 Dobson Ave, Dolton, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1902202054
  • Provider Enumeration Date: 11/17/2014
  • Last Update Date: 04/04/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 4981960549
  • Enrollment ID: I20171114003600

Medical Identifiers

Medical identifiers for Mrs Phyllis Ferguson Collum such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902202054NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health 149015907 (Illinois)Secondary
101YP2500XCounselor - Professional 149015907 (Illinois)Secondary
1041C0700XSocial Worker - Clinical 149015907 (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. Mrs Phyllis Ferguson Collum allows following entities to bill medicare on her behalf.
Entity NameAdvocate Health And Hospitals Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700824455
PECOS PAC ID: 7810800935
Enrollment ID: O20031106000064

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. Mrs Phyllis Ferguson Collum 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
Mrs Phyllis Ferguson Collum, LCSW
15539 Dobson Ave,
Dolton, IL 60419-2708

Ph: (312) 810-5203		Mrs Phyllis Ferguson Collum, LCSW
15539 Dobson Ave,
Dolton, IL 60419-2708

Ph: (312) 810-5203

Reviews and Comments


Social Worker in Dolton, IL


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.