Tara Lynn Hartley, LCSW in Carterville, IL - Medicare Social Worker Provider

Tara Lynn Hartley, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Carterville, Illinois. Her current practice location is 1400 Pin Oak Dr, Carterville, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 985-3333.

Tara Lynn Hartley is licensed to practice in Illinois (license number 149.021785) 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 1639718612.

Contact Information

	Tara Lynn Hartley, LCSW
	1400 Pin Oak Dr, Carterville, IL 62918-1600
	(618) 985-3333
	(618) 985-1307

Map and Direction

Healthcare Provider's Profile

Full Name	Tara Lynn Hartley
Gender	Female
Speciality	Social Worker - Clinical
Location	1400 Pin Oak Dr, Carterville, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639718612
Provider Enumeration Date: 12/23/2019
Last Update Date: 09/19/2023

Medicare PECOS Information:

PECOS PAC ID: 4981039377
Enrollment ID: I20200113001153

Medical Identifiers

Medical identifiers for Tara Lynn Hartley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639718612	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	149.021785 (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. Tara Lynn Hartley allows following entities to bill medicare on her behalf.

Entity Name	Southern Illinois Medical Services Nfp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770656837 PECOS PAC ID: 3678677390 Enrollment ID: O20070404000595

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. Tara Lynn Hartley 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
Tara Lynn Hartley, LCSW Po Box 3988, Carbondale, IL 62902-3988 Ph: (618) 457-5200	Tara Lynn Hartley, LCSW 1400 Pin Oak Dr, Carterville, IL 62918-1600 Ph: (618) 985-3333

Reviews and Comments

Social Worker in Carterville, IL

Teresa Annette Eblin, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 403 Municipal Dr, Carterville, IL 62918 Phone: 855-608-3560 Fax: 618-956-9349
Preston Simpson, MSW,LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 403 Municipal Dr, Carterville, IL 62918 Phone: 855-608-3560 Fax: 618-956-9349
Mrs. Susan Elain Frease, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 211 W Grand Ave, Carterville, IL 62918 Phone: 618-559-7372
Trisha Fuller, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 403 Municipal Dr, Carterville, IL 62918 Phone: 855-608-3560 Fax: 618-956-9349
Debora Rich, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 505 Canary Ln, Carterville, IL 62918 Phone: 618-499-0651
Ryan Rogulich, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 6355 Brandhorst Rd, Carterville, IL 62918 Phone: 618-519-9200
Connie E Deen, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1006 S Division St, Carterville, IL 62918 Phone: 618-985-4841 Fax: 618-985-8101

Tara Lynn Hartley, LCSW - Medicare Clinical Social Worker in Carterville, IL