Ms Teresa C Boose, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Flora, Illinois. She graduated from medical school in 2018 and has 7 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice County Of Clay and her current practice location is
929 Stacey Burk Dr, Flora, Illinois. You can reach out to her office (for appointments etc.) via phone at
(618) 662-2191.
Ms Teresa C Boose is licensed to practice in Illinois (license number 149.009931) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1699174185.
Healthcare Provider's Profile
| Full Name | Ms Teresa C Boose |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 7 Years |
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| Location | 929 Stacey Burk Dr, Flora, Illinois |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Ms Teresa C Boose graduated from medical school in 2018
NPI Data:
- NPI Number: 1699174185
- Provider Enumeration Date: 08/20/2014
- Last Update Date: 08/20/2014
Medicare PECOS Information:
- PECOS PAC ID: 6204182454
- Enrollment ID: I20180702002006
Medical Identifiers
Medical identifiers for Ms Teresa C Boose such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1699174185 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1041C0700X | Social Worker - Clinical | 149.009931 (Illinois) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| County Of Clay | 0042101982 | 37 |
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 Teresa C Boose allows following entities to bill medicare on her behalf.
| Entity Name | County Of Clay |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1811946411 PECOS PAC ID: 0042101982 Enrollment ID: O20040322000969 |
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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 Teresa C Boose 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 Teresa C Boose, LCSW 929 Stacey Burk Dr, Flora, IL 62839-3241 Ph: (618) 662-2191 | Ms Teresa C Boose, LCSW 929 Stacey Burk Dr, Flora, IL 62839-3241 Ph: (618) 662-2191 |
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