Ms Samantha Jane Crow, OTR/L is a medicare enrolled "Occupational Therapist" provider in Farmington, Illinois. Her current practice location is
701 S Main St, Farmington, Illinois. You can reach out to her office (for appointments etc.) via phone at
(309) 245-2407.
Ms Samantha Jane Crow is licensed to practice in Illinois (license number 056.011814) 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 1245741198.
Healthcare Provider's Profile
| Full Name | Ms Samantha Jane Crow |
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| Gender | Female |
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| Speciality | Occupational Therapist |
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| Location | 701 S Main St, Farmington, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1245741198
- Provider Enumeration Date: 10/18/2017
- Last Update Date: 10/18/2017
Medicare PECOS Information:
- PECOS PAC ID: 5991034050
- Enrollment ID: I20230629000989
Medical Identifiers
Medical identifiers for Ms Samantha Jane Crow such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1245741198 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225X00000X | Occupational Therapist | 056.011814 (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. Ms Samantha Jane Crow allows following entities to bill medicare on her behalf.
| Provider Name | Empowerme Rehabilitation Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1134844848
PECOS PAC ID: 2769723162
Enrollment ID: O20230503002799 |
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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. Ms Samantha Jane Crow 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 |
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Ms Samantha Jane Crow, OTR/L
7400 N Villa Lake Dr Apt P1,
Peoria, IL 61614-8265
Ph: (309) 410-7814 | Ms Samantha Jane Crow, OTR/L
701 S Main St,
Farmington, IL 61531-1460
Ph: (309) 245-2407 |
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