Ms Tami Marie Crumlett, LSW, CADC is a medicare enrolled "Social Worker" provider in Elk Grove Village, Illinois. She graduated from healthcare school in 2018 and has 6 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Kenneth Young Center and her current practice location is
1001 Rohlwing Rd, Elk Grove Village, Illinois. You can reach out to her office (for appointments etc.) via phone at
(847) 524-8800.
Ms Tami Marie Crumlett is licensed to practice in Illinois (license number 150103498) 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 1396358545.
Healthcare Provider's Profile
| Full Name | Ms Tami Marie Crumlett |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 6 Years |
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| Location | 1001 Rohlwing Rd, Elk Grove Village, Illinois |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ms Tami Marie Crumlett graduated from medical school in 2018
NPI Data:
- NPI Number: 1396358545
- Provider Enumeration Date: 08/27/2020
- Last Update Date: 08/27/2020
Medicare PECOS Information:
- PECOS PAC ID: 1759786809
- Enrollment ID: I20210827000079
Medical Identifiers
Medical identifiers for Ms Tami Marie Crumlett such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1396358545 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 35200 (Illinois) | Secondary |
| 104100000X | Social Worker | 150103498 (Illinois) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Kenneth Young Center | 7416940655 | 24 |
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 Tami Marie Crumlett allows following entities to bill medicare on her behalf.
| Entity Name | Kenneth Young Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1629083241
PECOS PAC ID: 7416940655
Enrollment ID: O20041109000272 |
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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. Ms Tami Marie Crumlett 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 |
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Ms Tami Marie Crumlett, LSW, CADC
1618 Moore Ave,
Streamwood, IL 60107-3039
Ph: (630) 532-8181 | Ms Tami Marie Crumlett, LSW, CADC
1001 Rohlwing Rd,
Elk Grove Village, IL 60007-3217
Ph: (847) 524-8800 |
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