Hana Gilliom, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Bloomington, Indiana. Her current practice location is
645 S Rogers St, Bloomington, Indiana. You can reach out to her office (for appointments etc.) via phone at
(812) 339-1691.
Hana Gilliom is licensed to practice in Indiana (license number 34008622A) 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 1639545783.
Healthcare Provider's Profile
| Full Name | Hana Gilliom |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 645 S Rogers St, Bloomington, Indiana |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1639545783
- Provider Enumeration Date: 08/12/2015
- Last Update Date: 06/26/2025
Medicare PECOS Information:
- PECOS PAC ID: 8426480096
- Enrollment ID: I20191120000920
Medical Identifiers
Medical identifiers for Hana Gilliom such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1639545783 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 34008622A (Indiana) | 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. Hana Gilliom allows following entities to bill medicare on her behalf.
| Entity Name | Adult And Child Mental Health Center Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1154368512 PECOS PAC ID: 3678567898 Enrollment ID: O20050119000497 |
|---|
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. Hana Gilliom 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 |
Hana Gilliom, LCSW 645 S Rogers St, Bloomington, IN 47403-2353 Ph: () - | Hana Gilliom, LCSW 645 S Rogers St, Bloomington, IN 47403-2353 Ph: (812) 339-1691 |
Reviews and Comments