Samantha Carroll, LPC in Decatur, IL - Medicare Counselor Provider

Samantha Carroll, LPC is a medicare enrolled "Counselor - Professional" provider in Decatur, Illinois. Her current practice location is 151 N Main St, Decatur, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 362-6262.

Samantha Carroll is licensed to practice in Illinois (license number 179.019203) 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 1629830211.

Contact Information

	Samantha Carroll, LPC
	151 N Main St, Decatur, IL 62523-1206
	(217) 362-6262
	(217) 362-6290

Map and Direction

Healthcare Provider's Profile

Full Name	Samantha Carroll
Gender	Female
Speciality	Counselor - Professional
Location	151 N Main St, Decatur, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629830211
Provider Enumeration Date: 01/29/2024
Last Update Date: 01/29/2024

Medicare PECOS Information:

PECOS PAC ID: 0244674182
Enrollment ID: I20240219001762

Medical Identifiers

Medical identifiers for Samantha Carroll such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629830211	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	179.019203 (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. Samantha Carroll allows following entities to bill medicare on her behalf.

Entity Name	Heritage Behavioral Health Center, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639231731 PECOS PAC ID: 0547208951 Enrollment ID: O20050418000456

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. Samantha Carroll 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
Samantha Carroll, LPC 151 N Main St, Decatur, IL 62523-1206 Ph: (217) 362-6262	Samantha Carroll, LPC 151 N Main St, Decatur, IL 62523-1206 Ph: (217) 362-6262

Reviews and Comments

Counselor in Decatur, IL

Carrie A Ray, Counselor Medicare: Medicare Enrolled Practice Location: 151 N Main St, Decatur, IL 62523 Phone: 217-362-6262
Robert Lesley Goodwin, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 320 E Central Ave, Decatur, IL 62521 Phone: 217-877-9117
Ms. Linda L Warden-michl, MA, NCC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 132 S Water St, Suite 630, Decatur, IL 62523 Phone: 217-330-6963
Michelle Hanson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 151 N Main St, Decatur, IL 62523 Phone: 217-362-6262 Fax: 217-362-6290
Lesa J Mcmahon-lowe, LPC Counselor Medicare: Medicare Enrolled Practice Location: 151 N Main St, Decatur, IL 62523 Phone: 217-420-4776 Fax: 217-362-6259
Marilyn Stevens, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 363 S Main St, Suite 220, Decatur, IL 62523 Phone: 217-638-5545 Fax: 217-424-1633
Kelly Thurston, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 151 N Main St, Decatur, IL 62523 Phone: 217-362-6262 Fax: 217-362-6290

Samantha Carroll, LPC - Medicare Counselor in Decatur, IL