Carlos Crudup, MD - Medicare Family Medicine in Glenwood, IL

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Carlos Crudup, MD is a medicare enrolled "Family Medicine" physician in Glenwood, Illinois. His current practice location is 19310 S Halsted St, Glenwood, Illinois. You can reach out to his office (for appointments etc.) via phone at (708) 300-3132.

Carlos Crudup is licensed to practice in Illinois (license number 036-112800) 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 1174556484.

Contact Information

Carlos Crudup, MD
19310 S Halsted St,
Glenwood, IL 60425-1562
(708) 300-3132
(708) 300-3149

Map and Direction




Physician's Profile

Full NameCarlos Crudup
GenderMale
SpecialityFamily Medicine
Location19310 S Halsted St, Glenwood, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1174556484
  • Provider Enumeration Date: 07/09/2006
  • Last Update Date: 02/02/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 7416901855
  • Enrollment ID: I20050308001089

Medical Identifiers

Medical identifiers for Carlos Crudup such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174556484NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 036-112800 (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. Carlos Crudup allows following entities to bill medicare on his behalf.
Entity NameIntegrated Rehab Consultants Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528379195
PECOS PAC ID: 7810184892
Enrollment ID: O20101203000704
Entity NamePmr Illinois Holding Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770038671
PECOS PAC ID: 2062804909
Enrollment ID: O20220126001647

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. Carlos Crudup 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
Carlos Crudup, MD
19310 S Halsted St,
Glenwood, IL 60425-1562

Ph: (708) 300-3132		Carlos Crudup, MD
19310 S Halsted St,
Glenwood, IL 60425-1562

Ph: (708) 300-3132

Reviews and Comments


Family Medicine Doctors in Glenwood, IL

Mohammed Adnan Khaleeluddin, D.O.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 19310 S Halsted St, Glenwood, IL 60425
Phone: 708-300-3132    Fax: 708-300-3149
Samer Shaja, DO
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 19310 S Halsted St, Glenwood, IL 60425
Phone: 708-300-3132    
Richard Phillips, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 19310 S Halsted St, Glenwood, IL 60425
Phone: 708-300-3132    
Katrice Marie Brooks, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 19310 S Halsted St, Glenwood, IL 60425
Phone: 708-300-3132    Fax: 773-790-4034
Dr. Michelle Meeks, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 19310 S Halsted St, Glenwood, IL 60425
Phone: 708-300-3132    Fax: 708-300-3149

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.