Ms India R Crawford, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Philadelphia, Pennsylvania. Her current practice location is
5000 Woodland Ave, 2nd Fl., Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(215) 726-9807.
Ms India R Crawford is licensed to practice in Pennsylvania (license number CW019178) 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 1902141997.
Healthcare Provider's Profile
| Full Name | Ms India R Crawford |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 5000 Woodland Ave, Philadelphia, Pennsylvania |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1902141997
- Provider Enumeration Date: 12/03/2012
- Last Update Date: 08/18/2016
Medicare PECOS Information:
- PECOS PAC ID: 4789964248
- Enrollment ID: I20250410002474
Medical Identifiers
Medical identifiers for Ms India R Crawford such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1902141997 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | CW019178 (Pennsylvania) | 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 India R Crawford allows following entities to bill medicare on her behalf.
| Entity Name | Counseling Center At Clark Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245637578 PECOS PAC ID: 3971990144 Enrollment ID: O20220419000848 |
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| Entity Name | Counseling Center At Fair Lawn, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1407276975 PECOS PAC ID: 5496127086 Enrollment ID: O20230208000502 |
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| Entity Name | Counseling Center At Toms River Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1326442971 PECOS PAC ID: 5294107785 Enrollment ID: O20230209001442 |
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| Entity Name | Counseling Center At Freehold Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013269216 PECOS PAC ID: 8820460363 Enrollment ID: O20230210000601 |
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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 India R Crawford 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 India R Crawford, LCSW 432 N 6th St, Philadelphia, PA 19123-4004 Ph: (215) 925-2400 | Ms India R Crawford, LCSW 5000 Woodland Ave, 2nd Fl., Philadelphia, PA 19143-5137 Ph: (215) 726-9807 |
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