Sandra Susan Blazek, MSW in Effingham, IL - Medicare Clinical Social Worker Provider

Sandra Susan Blazek, MSW is a medicare enrolled "Social Worker - Clinical" provider in Effingham, Illinois. She graduated from medical school in 2017 and has 8 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Southern Illinois Healthcare Foundation, Inc. and her current practice location is 900 W Temple Ave Ste 208, Effingham, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 342-0211.

Sandra Susan Blazek is licensed to practice in North Carolina (license number P011740) 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 1942721295.

Contact Information

	Sandra Susan Blazek, MSW
	900 W Temple Ave Ste 208, Effingham, IL 62401-2187
	(217) 342-0211
	(217) 342-0232

Map and Direction

Healthcare Provider's Profile

Full Name	Sandra Susan Blazek
Gender	Female
Speciality	Clinical Social Worker
Experience	8 Years
Location	900 W Temple Ave Ste 208, Effingham, Illinois
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:

Sandra Susan Blazek graduated from medical school in 2017

NPI Data:

NPI Number: 1942721295
Provider Enumeration Date: 06/27/2017
Last Update Date: 03/28/2024

Medicare PECOS Information:

PECOS PAC ID: 8527390392
Enrollment ID: I20211013002312

Medical Identifiers

Medical identifiers for Sandra Susan Blazek such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942721295	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	P011740 (North Carolina)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southern Illinois Healthcare Foundation, Inc.	1456256874	115

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. Sandra Susan Blazek allows following entities to bill medicare on her behalf.

Entity Name	Southern Illinois Healthcare Foundation, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609813500 PECOS PAC ID: 1456256874 Enrollment ID: O20031126000641

Entity Name	Ahs Il Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659098101 PECOS PAC ID: 5496111676 Enrollment ID: O20230512001300

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. Sandra Susan Blazek 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
Sandra Susan Blazek, MSW 900 W Temple Ave Ste 208, Effingham, IL 62401-2187 Ph: (217) 342-0211	Sandra Susan Blazek, MSW 900 W Temple Ave Ste 208, Effingham, IL 62401-2187 Ph: (217) 342-0211

Reviews and Comments

Social Worker in Effingham, IL

Jamie Lee Mcclain, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1200 N 4th St, Effingham, IL 62401 Phone: 217-347-7179
Mr. Justin E Hampton, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 900 W Temple Ave Ste 208, Effingham, IL 62401 Phone: 217-342-0211 Fax: 217-342-0232
Larry Edward Quicksall, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1901 S 4th St Ste 7, Effingham, IL 62401 Phone: 217-347-5937
Beth Stundon, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 405 S 3rd St, Effingham, IL 62401 Phone: 217-994-4898
Emily Anne Schall, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 405 S 3rd St, Effingham, IL 62401 Phone: 217-343-8242 Fax: 217-994-9206
Afthan Reents, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1200 N 4th St, Effingham, IL 62401 Phone: 217-347-7179
Mrs. Tamara Nanette Jones, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1011 Ford Ave, Effingham, IL 62401 Phone: 217-347-7600 Fax: 217-342-9733

Sandra Susan Blazek, MSW - Medicare Clinical Social Worker in Effingham, IL