Ms Tamara K Pettingill, LCSW in Idaho Falls, ID - Medicare Social Worker Provider

Ms Tamara K Pettingill, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Idaho Falls, Idaho. Her current practice location is 1302 E 17th St, Idaho Falls, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 542-9199.

Ms Tamara K Pettingill is licensed to practice in * (Not Available) (license number ) 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 1629081864.

Contact Information

	Ms Tamara K Pettingill, LCSW
	1302 E 17th St, Idaho Falls, ID 83404-6270
	(208) 542-9199
	(208) 542-6272

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Tamara K Pettingill
Gender	Female
Speciality	Social Worker - Clinical
Location	1302 E 17th St, Idaho Falls, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629081864
Provider Enumeration Date: 08/15/2006
Last Update Date: 04/21/2025

Medicare PECOS Information:

PECOS PAC ID: 8527093996
Enrollment ID: I20051012000496

Medical Identifiers

Medical identifiers for Ms Tamara K Pettingill such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629081864	NPI	-	NPPES
806864000	Medicaid	ID
806803500	Medicaid	ID
806836700	Medicaid	ID

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LCSW-24477 (Idaho)	Secondary
1041C0700X	Social Worker - Clinical	(* (Not Available))	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 Tamara K Pettingill allows following entities to bill medicare on her behalf.

Entity Name	Pettingill Counseling Services Professional Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891919890 PECOS PAC ID: 9133598501 Enrollment ID: O20221206002540

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 Tamara K Pettingill 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
Ms Tamara K Pettingill, LCSW 1302 E 17th St, Idaho Falls, ID 83404-6270 Ph: (208) 542-9199	Ms Tamara K Pettingill, LCSW 1302 E 17th St, Idaho Falls, ID 83404-6270 Ph: (208) 542-9199

Reviews and Comments

Social Worker in Idaho Falls, ID

Corene Peterson, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1565 E Lincoln Rd, Idaho Falls, ID 83401 Phone: 208-524-8996 Fax: 208-524-1205
Daniel James Griffin, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1070 Riverwalk Dr Ste 258, Idaho Falls, ID 83402 Phone: 208-219-7655
Mr. Nathan R Porter, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 N Woodruff Ave, Idaho Falls, ID 83401 Phone: 208-346-2363
Travis Aaron Dean, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1337 E 17th St, Idaho Falls, ID 83404 Phone: 208-525-2090 Fax: 208-523-8978
Mr. Claigh H Jensen, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1600 John Adams Pkwy, Suite 102, Idaho Falls, ID 83401 Phone: 208-529-5276 Fax: 208-529-6506
Jessica Marley, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2420 E 25th St, Idaho Falls, ID 83404 Phone: 208-542-1026 Fax: 208-528-2945
Elizabeth R Harding, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2270 Teton Plz, Idaho Falls, ID 83404 Phone: 801-655-5450

Ms Tamara K Pettingill, LCSW - Medicare Clinical Social Worker in Idaho Falls, ID