Dr Samara Crudup, MD - Medicare Physical Medicine & Rehabilitation in Chicago, IL

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Dr Samara Crudup, MD is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Chicago, Illinois. Her current practice location is 1446 E 63rd St, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at (773) 369-6222.

Dr Samara Crudup is licensed to practice in Illinois (license number 036.124522) 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 1518275635.

Contact Information

Dr Samara Crudup, MD
1446 E 63rd St,
Chicago, IL 60637-2948
(773) 369-6222
Not Available

Map and Direction




Physician's Profile

Full NameDr Samara Crudup
GenderFemale
SpecialityPhysical Medicine & Rehabilitation
Location1446 E 63rd St, Chicago, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1518275635
  • Provider Enumeration Date: 09/23/2010
  • Last Update Date: 10/29/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 7517150196
  • Enrollment ID: I20101015000631

Medical Identifiers

Medical identifiers for Dr Samara Crudup such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1518275635NPI-NPPES
036124522OtherILLICENSE NO
036124522MedicaidIL
P01201664OtherILRR MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208100000XPhysical Medicine & Rehabilitation 036.124522 (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. Dr Samara Crudup allows following entities to bill medicare on her behalf.
Entity NamePhysiaserv Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457499774
PECOS PAC ID: 2961393582
Enrollment ID: O20040323001084
Entity NameIntegrative Rehabmedicine Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902014285
PECOS PAC ID: 8022115252
Enrollment ID: O20070522000532
Entity NameIntegrated Rehab Consultants Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528379195
PECOS PAC ID: 7810184892
Enrollment ID: O20101203000704
Entity NameSkilled Facility Health Care Solutions Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104018423
PECOS PAC ID: 9032299144
Enrollment ID: O20191226001490

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. Dr Samara 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
Dr Samara Crudup, MD
401 N Michigan Ave, Suite 1200,
Chicago, IL 60611-4264

Ph: (312) 635-0973		Dr Samara Crudup, MD
1446 E 63rd St,
Chicago, IL 60637-2948

Ph: (773) 369-6222

Reviews and Comments


Physical Medicine & Rehabilitation Doctors in Chicago, IL

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Phone: 312-238-1000    Fax: 312-238-7767
Dr. Lena Mishack,
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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.