Ms Tabatha Creasbaum, LMHC in Dyer, IN - Medicare Counselor Provider

Ms Tabatha Creasbaum, LMHC is a medicare enrolled "Counselor - Mental Health" provider in Dyer, Indiana. Her current practice location is 630 Cottonwood Dr, Dyer, Indiana. You can reach out to her office (for appointments etc.) via phone at (219) 588-3540.

Ms Tabatha Creasbaum is licensed to practice in Indiana (license number 39002363A) 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 1972831568.

Contact Information

	Ms Tabatha Creasbaum, LMHC
	630 Cottonwood Dr, Dyer, IN 46311-2207
	(219) 588-3540
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Tabatha Creasbaum
Gender	Female
Speciality	Counselor - Mental Health
Location	630 Cottonwood Dr, Dyer, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1972831568
Provider Enumeration Date: 11/19/2009
Last Update Date: 01/30/2015

Medicare PECOS Information:

PECOS PAC ID: 4284085978
Enrollment ID: I20240106000690

Medical Identifiers

Medical identifiers for Ms Tabatha Creasbaum such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972831568	NPI	-	NPPES
201207560A	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	39002363A (Indiana)	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. Ms Tabatha Creasbaum allows following entities to bill medicare on her behalf.

Entity Name	Southlake Community Mental Health Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821081290 PECOS PAC ID: 5991600355 Enrollment ID: O20031231000117

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. Ms Tabatha Creasbaum 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
Ms Tabatha Creasbaum, LMHC 630 Cottonwood Dr, Dyer, IN 46311-2207 Ph: (219) 588-3540	Ms Tabatha Creasbaum, LMHC 630 Cottonwood Dr, Dyer, IN 46311-2207 Ph: (219) 588-3540

Reviews and Comments

Counselor in Dyer, IN

Alicia Diane Doolin, LMHC, LCAC Counselor Medicare: Medicare Enrolled Practice Location: 24 Joliet St, Dyer, IN 46311 Phone: 219-322-5747 Fax: 219-864-2282
Sharalee Lewis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 23 Carnation St, Dyer, IN 46311 Phone: 321-460-2242
Ms. Ylonda Ware, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 925 Killarney Dr, Dyer, IN 46311 Phone: 773-618-2231
Bethany Lynn Casson, LMHC, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 24 Joliet St, Dyer, IN 46311 Phone: 219-322-5747
Ms. Diana Smith, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 925 Killarney Dr, Dyer, IN 46311 Phone: 773-618-2231
Ms. Kathy A Wright, LCPC LMFT LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 21 Joliet St, Behaviorlal Health Op, Dyer, IN 46211 Phone: 219-865-2141
Joan Levesque, LCAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 24 Joliet St, Dyer, IN 46311 Phone: 219-322-5747 Fax: 219-864-2282

Ms Tabatha Creasbaum, LMHC - Medicare Counselor in Dyer, IN