Samuel William Crouch, PLADC in Scottsbluff, NE

Samuel William Crouch, PLADC is a medicare enrolled "Counselor - Mental Health" provider in Scottsbluff, Nebraska. His current practice location is 921 W 36th St, Scottsbluff, Nebraska. You can reach out to his office (for appointments etc.) via phone at (308) 225-0500.

Samuel William Crouch is licensed to practice in Nebraska (license number 11806) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1619452943.

Contact Information

	Samuel William Crouch, PLADC
	921 W 36th St, Scottsbluff, NE 69361-5009
	(308) 225-0500
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Samuel William Crouch
Gender	Male
Speciality	Counselor - Mental Health
Location	921 W 36th St, Scottsbluff, Nebraska
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619452943
Provider Enumeration Date: 10/02/2018
Last Update Date: 04/30/2019

Medicare PECOS Information:

PECOS PAC ID: 4183157076
Enrollment ID: I20241030004183

Medical Identifiers

Medical identifiers for Samuel William Crouch such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619452943	NPI	-	NPPES
10026769300	Medicaid	NE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	P-1628 (Nebraska)	Secondary
101YM0800X	Counselor - Mental Health	11806 (Nebraska)	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. Samuel William Crouch allows following entities to bill medicare on his behalf.

Entity Name	Fulcrum Counseling Services, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215402151 PECOS PAC ID: 3274066162 Enrollment ID: O20241030004106

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. Samuel William Crouch 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
Samuel William Crouch, PLADC 921 W 36th St, Scottsbluff, NE 69361-5009 Ph: (308) 225-0500	Samuel William Crouch, PLADC 921 W 36th St, Scottsbluff, NE 69361-5009 Ph: (308) 225-0500

Reviews and Comments

Counselor in Scottsbluff, NE

Mrs. Julie Lynn Cochran, MA, PLMHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 4110 Avenue D, Scottsbluff, NE 69361 Phone: 308-635-3171 Fax: 308-635-7026
Anthony Scott Hall, PLADC Counselor Medicare: Medicare Enrolled Practice Location: 1509 1st Ave, Scottsbluff, NE 69361 Phone: 308-635-1488
Karri Elizabeth Garcia, PLADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1509 1st Ave, Scottsbluff, NE 69361 Phone: 308-635-1365 Fax: 308-635-7880
Andrew Marlow, LIMHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 4215 Avenue I, Scottsbluff, NE 69361 Phone: 308-635-3696 Fax: 308-635-0680
Marilyn Kay Hajek, PLADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2122 Broadway, Scottsbluff, NE 69361 Phone: 308-225-4335 Fax: 308-633-2020
Frances Romero Thomas, MA ED. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1807 Avenue A, Scottsbluff, NE 69361 Phone: 308-631-8412
Jacklyn Cawiezel, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2622 Avenue C, Scottsbluff, NE 69361 Phone: 308-632-8547 Fax: 308-632-0135

Samuel William Crouch, PLADC - Medicare Counselor in Scottsbluff, NE