Mrs Tabitha Danielle Martin, LCSW in Peoria, IL - Medicare Social Worker Provider

Mrs Tabitha Danielle Martin, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Peoria, Illinois. Her current practice location is 10509 N Manchester Dr, Peoria, Illinois. You can reach out to her office (for appointments etc.) via phone at (808) 321-1792.

Mrs Tabitha Danielle Martin is licensed to practice in Illinois (license number 149022835) 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 1053909572.

Contact Information

	Mrs Tabitha Danielle Martin, LCSW
	10509 N Manchester Dr, Peoria, IL 61615-8891
	(808) 321-1792
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Tabitha Danielle Martin
Gender	Female
Speciality	Social Worker - Clinical
Location	10509 N Manchester Dr, Peoria, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053909572
Provider Enumeration Date: 01/10/2021
Last Update Date: 01/10/2021

Medicare PECOS Information:

PECOS PAC ID: 2264834399
Enrollment ID: I20210713001362

Medical Identifiers

Medical identifiers for Mrs Tabitha Danielle Martin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053909572	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	149022835 (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. Mrs Tabitha Danielle Martin allows following entities to bill medicare on her behalf.

Entity Name	Mathers Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316237530 PECOS PAC ID: 7214111582 Enrollment ID: O20110411000671

Entity Name	Preferred Family Healthcare Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114099421 PECOS PAC ID: 0244256246 Enrollment ID: O20151124002928

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. Mrs Tabitha Danielle Martin 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
Mrs Tabitha Danielle Martin, LCSW 10509 N Manchester Dr, Peoria, IL 61615-8891 Ph: (808) 321-1792	Mrs Tabitha Danielle Martin, LCSW 10509 N Manchester Dr, Peoria, IL 61615-8891 Ph: (808) 321-1792

Reviews and Comments

Social Worker in Peoria, IL

Ginger Renee Hughes Garner, LCSW, CADC Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 7717 N Orange Prairie Rd, Peoria, IL 61615 Phone: 309-267-2289
Jaimie M Peterson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2265 W Altorfer Dr, Peoria, IL 61615 Phone: 309-683-7700 Fax: 309-683-7752
Shannon Dolan, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7717 N Orange Prairie Rd, Peoria, IL 61615 Phone: 309-589-6800
Eddie K Wong, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 600 Fayette St, Peoria, IL 61603 Phone: 309-671-8005 Fax: 309-671-8021
Mrs. Sandra Susan Cross, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 809 W Detweiller Dr Ste 810, Peoria, IL 61615 Phone: 309-264-9517
Catherine J Kilbourn, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 900 Main St, Suite 580, Peoria, IL 61602 Phone: 309-637-4266 Fax: 309-637-9836
Mrs. Sylvia Ana Murphy, LCSW, MA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2000 W Pioneer Pkwy, Suite 3, Peoria, IL 61615 Phone: 309-402-0666 Fax: 309-402-0563

Mrs Tabitha Danielle Martin, LCSW - Medicare Clinical Social Worker in Peoria, IL