Chestnut Health Systems Inc - Medicare Mental Health Clinic in Bloomington, IL

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Chestnut Health Systems Inc is a medicare enrolled mental health clinic (Clinic/center - Rehabilitation, Substance Use Disorder) in Bloomington, Illinois. The current practice location for Chestnut Health Systems Inc is 1003 Martin Luther King Dr, Bloomington, Illinois. For appointments, you can reach them via phone at (309) 827-6026. The mailing address for Chestnut Health Systems Inc is 1003 Martin Luther King Dr, Bloomington, Illinois and phone number is () -.

Chestnut Health Systems Inc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1366431686. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (309) 827-6026.

Contact Information

Chestnut Health Systems Inc
1003 Martin Luther King Dr
Bloomington
IL 61701-1429
(309) 827-6026
(309) 820-1386

Map and Direction


Mental Health Clinic Profile

Full NameChestnut Health Systems Inc
SpecialityClinic/Center
Location1003 Martin Luther King Dr, Bloomington, Illinois
Authorized Official Name and PositionMegan Marie Taylor (MANAGED CARE SUPERVISOR)
Authorized Official Contact8889243786
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Chestnut Health Systems Inc
1003 Martin Luther King Dr
Bloomington
IL 61701-1429

Ph: () -		Chestnut Health Systems Inc
1003 Martin Luther King Dr
Bloomington
IL 61701-1429

Ph: (309) 827-6026

NPI Details:

NPI Number1366431686
Provider Enumeration Date10/19/2005
Last Update Date03/16/2023
Certification Date03/16/2023

Medicare PECOS Information:

Medicare PECOS PAC ID1052393063
Medicare Enrollment IDO20040603000738

Medical Identifiers

Medical identifiers for Chestnut Health Systems Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366431686NPI-NPPES
04023MedicaidIL
C/A-0126-0007-AMedicaidIL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QM0801XClinic/center - Mental Health (including Community Mental Health Center) (* (Not Available))Secondary
261QR0405XClinic/center - Rehabilitation, Substance Use Disorder (* (Not Available))Primary
324500000XSubstance Abuse Rehabilitation Facility (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Chestnut Health Systems Inc acts as a billing entity for following providers:
Provider NameMatthew A Brown
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1154324515
PECOS PAC ID: 7012998966
Enrollment ID: I20040526001030
Provider NameRoberta June Hughes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740329374
PECOS PAC ID: 1850363045
Enrollment ID: I20040809000863
Provider NameRick A Anderson
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1396772976
PECOS PAC ID: 1456381656
Enrollment ID: I20050817000682
Provider NameAther A Malik
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1386616399
PECOS PAC ID: 5597707026
Enrollment ID: I20051213000587
Provider NameArif Habib
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1215912977
PECOS PAC ID: 8426065939
Enrollment ID: I20060308000427
Provider NameMichelle L Cheever
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558308940
PECOS PAC ID: 9032129861
Enrollment ID: I20060425000081
Provider NameJared C Rogers
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1285641530
PECOS PAC ID: 4587663851
Enrollment ID: I20061214000191
Provider NameVictoria J Brockhouse
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1790744555
PECOS PAC ID: 1355444266
Enrollment ID: I20070314000395
Provider NameJean Ellen Strazar
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588705651
PECOS PAC ID: 3678674231
Enrollment ID: I20070726000239
Provider NameDarrell D Rust
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1811960933
PECOS PAC ID: 8921912114
Enrollment ID: I20080201000077
Provider NameTodd O Kettering
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1972619526
PECOS PAC ID: 3678626280
Enrollment ID: I20090729000743
Provider NameJada J Johnson
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1104082734
PECOS PAC ID: 7315092707
Enrollment ID: I20090909000166
Provider NameElla N Wilson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275600702
PECOS PAC ID: 5799828778
Enrollment ID: I20100130000341
Provider NameKelly L Galbraith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619063187
PECOS PAC ID: 3971790163
Enrollment ID: I20101214000902
Provider NameSheila M Mara
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679877047
PECOS PAC ID: 0648451427
Enrollment ID: I20110228000254
Provider NameJames Wassel Tarasuik
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396189171
PECOS PAC ID: 4082845318
Enrollment ID: I20140328001636
Provider NameEllen Edith Mouser
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003238668
PECOS PAC ID: 9436374535
Enrollment ID: I20140703001205
Provider NameCari L Stefani
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508286477
PECOS PAC ID: 3870712821
Enrollment ID: I20140924000942
Provider NameMarta H Sciubisz
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1922394808
PECOS PAC ID: 9739402637
Enrollment ID: I20141230000401
Provider NameRebecca Merchiori
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588068464
PECOS PAC ID: 1254655020
Enrollment ID: I20150127001109
Provider NameRobyn Wendt
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255751095
PECOS PAC ID: 6800112947
Enrollment ID: I20150306001634
Provider NameMargaret Backas
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1790822781
PECOS PAC ID: 8022329341
Enrollment ID: I20150612001065
Provider NameAmanda Anderson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952797383
PECOS PAC ID: 9537478011
Enrollment ID: I20151023000747
Provider NameNicholas J Sutton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699148726
PECOS PAC ID: 2769784024
Enrollment ID: I20160105000565
Provider NameChristina E Ventimiglia-brandt
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336522275
PECOS PAC ID: 8123315033
Enrollment ID: I20160921000259
Provider NameBrittany E Moist
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487199311
PECOS PAC ID: 7315229234
Enrollment ID: I20170127002399
Provider NameJanae M Korte
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396288502
PECOS PAC ID: 5395029300
Enrollment ID: I20170310000610
Provider NameCynthia K Walker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215384573
PECOS PAC ID: 1557641834
Enrollment ID: I20170720001404
Provider NameCharles Joseph Franke
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1104125731
PECOS PAC ID: 0547534133
Enrollment ID: I20170920002471
Provider NameTerri R Smith
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1427340991
PECOS PAC ID: 1658637319
Enrollment ID: I20171113002228
Provider NameRachel Leann Hodge
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1124465364
PECOS PAC ID: 9931460987
Enrollment ID: I20180307002671
Provider NameKristin Marie Paul
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124411673
PECOS PAC ID: 3870854789
Enrollment ID: I20180309000147
Provider NameDarlene Kay Spihlmann
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1487990214
PECOS PAC ID: 2264793116
Enrollment ID: I20180309001886
Provider NameKelly L Ratz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114328275
PECOS PAC ID: 9931461860
Enrollment ID: I20180313000469
Provider NameChelsa E Krech
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295019941
PECOS PAC ID: 2163694084
Enrollment ID: I20180314000470
Provider NameVeronica M Powers
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316356710
PECOS PAC ID: 1951663749
Enrollment ID: I20180314001028
Provider NameSara Jean Fidlow
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1023415775
PECOS PAC ID: 3072876556
Enrollment ID: I20180416000845
Provider NameMolly Beth Mcvey
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1548663008
PECOS PAC ID: 4385907880
Enrollment ID: I20180416001752
Provider NameAndrea Marie Moline-mygatt
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1174895650
PECOS PAC ID: 8820351323
Enrollment ID: I20180416001771
Provider NameTracy Pacini
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154727097
PECOS PAC ID: 6608122023
Enrollment ID: I20180627001734
Provider NameSarah Elizabeth Gibson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1982189650
PECOS PAC ID: 3072866037
Enrollment ID: I20181022003035
Provider NameMaria Josephine Mynatt
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1497877880
PECOS PAC ID: 4688957004
Enrollment ID: I20190104000716
Provider NameJenia Rochelle Heavens
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508255662
PECOS PAC ID: 3274819990
Enrollment ID: I20190125001305
Provider NameJessica Ann Newby
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336626738
PECOS PAC ID: 5092059238
Enrollment ID: I20190401000031
Provider NameJane Elizabeth Stilwell
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1407342777
PECOS PAC ID: 8527497502
Enrollment ID: I20200327000176
Provider NameKristen Hartwig
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1659905560
PECOS PAC ID: 9133558968
Enrollment ID: I20200331000182
Provider NameDebra J Connell-dent
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558904508
PECOS PAC ID: 1153750997
Enrollment ID: I20200331000957
Provider NameKevin Garner
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1922159037
PECOS PAC ID: 3971554007
Enrollment ID: I20200410001546
Provider NameAshley Renee Whitley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093102899
PECOS PAC ID: 0648588160
Enrollment ID: I20200421000184
Provider NameLisa M Fox
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1184244261
PECOS PAC ID: 8022449032
Enrollment ID: I20200507000246
Provider NameRebecca Lynn Harris
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669022182
PECOS PAC ID: 3173954104
Enrollment ID: I20200507001504
Provider NameKate E Timmermann
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1841838737
PECOS PAC ID: 5092138727
Enrollment ID: I20200714000114
Provider NameMin K Shin
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1063023943
PECOS PAC ID: 4688090574
Enrollment ID: I20200824000828
Provider NameKristin Elizabeth Manzi
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1578160933
PECOS PAC ID: 7214347418
Enrollment ID: I20201029000088
Provider NamePaige Brennan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730775966
PECOS PAC ID: 5496169625
Enrollment ID: I20210130000130
Provider NameKari Hercules
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558606731
PECOS PAC ID: 5698998680
Enrollment ID: I20210305001604
Provider NameTanya Parker
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1033701487
PECOS PAC ID: 9931515376
Enrollment ID: I20210309001831
Provider NameMolly Elizabeth Sanftleben
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1811572548
PECOS PAC ID: 9931516879
Enrollment ID: I20210322000815
Provider NameShijin Ye
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487249454
PECOS PAC ID: 3173930526
Enrollment ID: I20210331000683
Provider NameBrandie M Stiles
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285913129
PECOS PAC ID: 4284861790
Enrollment ID: I20210510001176
Provider NameAnnette Alyse Robbins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629644430
PECOS PAC ID: 7810390234
Enrollment ID: I20210722003212
Provider NameJaime Ann Campbell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215518683
PECOS PAC ID: 0143627729
Enrollment ID: I20210923003617
Provider NameChetna Vithal Gordhan
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1932853991
PECOS PAC ID: 9335532225
Enrollment ID: I20220217001921
Provider NameMia R Sing
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629560297
PECOS PAC ID: 2062748080
Enrollment ID: I20220225001819
Provider NameMelinda Sue Dial
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235765249
PECOS PAC ID: 0840687042
Enrollment ID: I20220418001087
Provider NameEvan Michael Willmore
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1710621271
PECOS PAC ID: 9739576075
Enrollment ID: I20220504002780
Provider NameAmy Virginia Cyrus
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154723229
PECOS PAC ID: 0547658924
Enrollment ID: I20220531002632
Provider NameLaurie Sparr
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447766621
PECOS PAC ID: 8022342104
Enrollment ID: I20220720002613
Provider NameKierstin Hancock
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053063776
PECOS PAC ID: 1658753751
Enrollment ID: I20220805002860
Provider NameCindy Ann Kohtz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689264160
PECOS PAC ID: 2567845746
Enrollment ID: I20220822000695
Provider NameCody James Palmer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932799673
PECOS PAC ID: 7113301326
Enrollment ID: I20220907000282
Provider NameEmily C Klein
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740934629
PECOS PAC ID: 7012393234
Enrollment ID: I20220926001463
Provider NameJennifer Marie Carlock
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1437876828
PECOS PAC ID: 2062889553
Enrollment ID: I20221114001826
Provider NameStephanie Tanwangco
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548985203
PECOS PAC ID: 2264801562
Enrollment ID: I20221208001172
Provider NameAngela Beth Sabblut
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912604646
PECOS PAC ID: 3375903826
Enrollment ID: I20230717001242
Provider NameKyria Anastasia Buchanan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629654298
PECOS PAC ID: 8628486552
Enrollment ID: I20230830002901
Provider NameSinata Becca Jinadu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043815608
PECOS PAC ID: 3577919158
Enrollment ID: I20231102002378
Provider NameLisa Ann Stolz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518693258
PECOS PAC ID: 1456701929
Enrollment ID: I20231223000227
Provider NameCarrie J Anderson
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1144352212
PECOS PAC ID: 7911357355
Enrollment ID: I20231227000915
Provider NameLibby Oleta Faith Fisher
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1356009856
PECOS PAC ID: 8224488424
Enrollment ID: I20240101000202
Provider NameRachel Abner Benrubi
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1861895864
PECOS PAC ID: 8820449705
Enrollment ID: I20240104002099
Provider NameSabryn Cox
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1619405883
PECOS PAC ID: 6002177193
Enrollment ID: I20240104002340
Provider NameJamie Janelle Doss
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1598429920
PECOS PAC ID: 4385095272
Enrollment ID: I20240104002457
Provider NameLainie Joy Barron
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1245741818
PECOS PAC ID: 5890146799
Enrollment ID: I20240104002613
Provider NameKelly J Luckey
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1063280048
PECOS PAC ID: 1850742651
Enrollment ID: I20240105001840
Provider NameJamie Renee Martens
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1740571108
PECOS PAC ID: 2961853494
Enrollment ID: I20240109004662
Provider NameKristle Kapp
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1053761783
PECOS PAC ID: 3971954330
Enrollment ID: I20240110001389
Provider NameMelissa Marie Huebner
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1194280008
PECOS PAC ID: 0941651343
Enrollment ID: I20240110002676
Provider NameTodd S Smith
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1679607584
PECOS PAC ID: 9931465663
Enrollment ID: I20240110003062
Provider NameBobby J Wood
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1922343532
PECOS PAC ID: 1850742123
Enrollment ID: I20240111000240
Provider NameElizabeth Vollmer Kohler
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1255042735
PECOS PAC ID: 0840642948
Enrollment ID: I20240113000144
Provider NameDeborah Kaye Edwards
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1366802514
PECOS PAC ID: 3870945983
Enrollment ID: I20240113000447
Provider NameRebecca Lynn Choate
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1154055218
PECOS PAC ID: 0749632867
Enrollment ID: I20240113000614
Provider NameTerri Lou Klawonn
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1750673034
PECOS PAC ID: 2365894482
Enrollment ID: I20240113000708
Provider NameSara Wray
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1922752484
PECOS PAC ID: 0143672907
Enrollment ID: I20240117001367
Provider NameBryan James Hinman
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1003179185
PECOS PAC ID: 9638521925
Enrollment ID: I20240123001885
Provider NameConstance D Owens-mooney
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1376779025
PECOS PAC ID: 3870946551
Enrollment ID: I20240130000356
Provider NameJennifer Lea Short
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487428066
PECOS PAC ID: 0244683555
Enrollment ID: I20240201003827
Provider NameTerry Glenn
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1699316877
PECOS PAC ID: 9739524158
Enrollment ID: I20240226001270
Provider NameJulienne Carol Szlufik
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255192357
PECOS PAC ID: 3779922703
Enrollment ID: I20240423003067
Provider NameTammy L Osborn
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245295286
PECOS PAC ID: 2769922392
Enrollment ID: I20240910004090
Provider NameEmilie Diane Delp
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1861229460
PECOS PAC ID: 1052842176
Enrollment ID: I20241001000636
Provider NameAbigail Helen Sarkissian
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598596546
PECOS PAC ID: 2961937370
Enrollment ID: I20241121004478
Provider NameAustin Wade Howald
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1275244741
PECOS PAC ID: 0749716280
Enrollment ID: I20241209000497

Reviews and Comments

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Finding Your Path To Freedom
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Practice Location: 2422 E Washington St, Suite 107, Bloomington, IL 61704
Phone: 309-310-9621    Fax: 309-454-6501

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.