Dr Samara Crudup, MD - Medicare Physical Medicine & Rehabilitation in Chicago, IL

Dr Samara Crudup, MD is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Chicago, Illinois. Her current practice location is 1446 E 63rd St, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at (773) 369-6222.

Dr Samara Crudup is licensed to practice in Illinois (license number 036.124522) 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 1518275635.

Contact Information

Dr Samara Crudup, MD
1446 E 63rd St,
Chicago, IL 60637-2948
(773) 369-6222
Not Available



Physician's Profile

Full NameDr Samara Crudup
GenderFemale
SpecialityPhysical Medicine & Rehabilitation
Location1446 E 63rd St, Chicago, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1518275635
  • Provider Enumeration Date: 09/23/2010
  • Last Update Date: 10/29/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 7517150196
  • Enrollment ID: I20101015000631

Medical Identifiers

Medical identifiers for Dr Samara Crudup such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1518275635NPI-NPPES
036124522OtherILLICENSE NO
036124522MedicaidIL
P01201664OtherILRR MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208100000XPhysical Medicine & Rehabilitation 036.124522 (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. Dr Samara Crudup allows following entities to bill medicare on her behalf.
Entity NamePhysiaserv Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457499774
PECOS PAC ID: 2961393582
Enrollment ID: O20040323001084

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Entity NameIntegrative Rehabmedicine Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902014285
PECOS PAC ID: 8022115252
Enrollment ID: O20070522000532

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Entity NameIntegrated Rehab Consultants Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528379195
PECOS PAC ID: 7810184892
Enrollment ID: O20101203000704

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Entity NameSkilled Facility Health Care Solutions Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104018423
PECOS PAC ID: 9032299144
Enrollment ID: O20191226001490

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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. Dr Samara Crudup 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 AddressPractice Location Address
Dr Samara Crudup, MD
401 N Michigan Ave, Suite 1200,
Chicago, IL 60611-4264

Ph: (312) 635-0973
Dr Samara Crudup, MD
1446 E 63rd St,
Chicago, IL 60637-2948

Ph: (773) 369-6222

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Physical Medicine & Rehabilitation Doctors in Chicago, IL

Patrick Joseph Barrett, MD
Physical Medicine & Rehabilitation
Medicare: Medicare Enrolled
Practice Location: 345 E Superior St, 16th Floor, Chicago, IL 60611
Phone: 312-238-2780    
Dr. Monica E Rho, MD
Physical Medicine & Rehabilitation
Medicare: Accepting Medicare Assignments
Practice Location: 355 E Erie St, Chicago, IL 60611
Phone: 312-238-1000    Fax: 312-238-7709
Ms. Shivani Dua, M.D.
Physical Medicine & Rehabilitation
Medicare: Accepting Medicare Assignments
Practice Location: 1725 W Harrison St Ste 885, Chicago, IL 60612
Phone: 312-942-2384    
Kara Eder, DPT
Physical Medicine & Rehabilitation
Medicare: Not Enrolled in Medicare
Practice Location: 333 E Benton Pl Ste 108, Chicago, IL 60601
Phone: 312-929-3646    
Dr. Sonika Randev, M.D.
Physical Medicine & Rehabilitation
Medicare: Accepting Medicare Assignments
Practice Location: 401 N Michigan Ave Ste 1200, Chicago, IL 60611
Phone: 312-635-0973    
Lauren E Splittgerber, MD
Physical Medicine & Rehabilitation
Medicare: Accepting Medicare Assignments
Practice Location: 355 E Erie St, Chicago, IL 60611
Phone: 312-238-1000    Fax: 312-238-7767
Reza Zayn Tanveer,
Physical Medicine & Rehabilitation
Medicare: Medicare Enrolled
Practice Location: 1620 W Harrison St, Chicago, IL 60612
Phone: 312-942-5000    

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