Victoria Tullock, MSW in Dekalb, IL - Medicare Counselor Provider

Victoria Tullock, MSW is a medicare enrolled "Counselor - Mental Health" provider in Dekalb, Illinois. Her current practice location is 631 South First St., Dekalb, Illinois. You can reach out to her office (for appointments etc.) via phone at (815) 756-8501.

Victoria Tullock is licensed to practice in * (Not Available) (license number ) 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 1003346628.

Contact Information

	Victoria Tullock, MSW
	631 South First St., Dekalb, IL 60115
	(815) 756-8501
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Victoria Tullock
Gender	Female
Speciality	Counselor - Mental Health
Location	631 South First St., Dekalb, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003346628
Provider Enumeration Date: 06/15/2017
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 5991130429
Enrollment ID: I20200110001180

Medical Identifiers

Medical identifiers for Victoria Tullock such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003346628	NPI	-	NPPES
474579189001	Medicaid	IL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	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. Victoria Tullock allows following entities to bill medicare on her behalf.

Entity Name	Richard Kneip, Ph.d., P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679739700 PECOS PAC ID: 4880768415 Enrollment ID: O20190204000199

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. Victoria Tullock 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
Victoria Tullock, MSW 631 S 1st St, Dekalb, IL 60115-4117 Ph: (815) 756-8501	Victoria Tullock, MSW 631 South First St., Dekalb, IL 60115 Ph: (815) 756-8501

Reviews and Comments

Counselor in Dekalb, IL

Christi Johnson, B.S., M.H.P. Counselor Medicare: Not Enrolled in Medicare Practice Location: 12 Health Services Dr, Dekalb, IL 60115 Phone: 815-756-4875 Fax: 815-756-5849
Christine Alexandra Espe Maxwell, MSED, LCPC, NCC Counselor Medicare: Medicare Enrolled Practice Location: 12 Health Services Dr, Dekalb, IL 60115 Phone: 815-756-4875 Fax: 815-756-2944
Alexis Herod, Counselor Medicare: Not Enrolled in Medicare Practice Location: 304 N 6th St, Dekalb, IL 60115 Phone: 815-375-5261
Ms. Deborah M Geiger, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 14 Health Services Drive, Dekalb, IL 60115 Phone: 815-758-8616 Fax: 815-758-7569
Jasmine Young, Counselor Medicare: Not Enrolled in Medicare Practice Location: 14 Health Services Dr, Dekalb, IL 60115 Phone: 815-758-8616
Tracy A Diehl, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 570 Devonaire Pkwy, Dekalb, IL 60115 Phone: 815-761-3382

Victoria Tullock, MSW - Medicare Counselor in Dekalb, IL