Carl Lee Brakman, LCSW in Antioch, IL - Medicare Social Worker Provider

Carl Lee Brakman, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Antioch, Illinois. His current practice location is 800 Main St Ste 210, Antioch, Illinois. You can reach out to his office (for appointments etc.) via phone at (847) 903-5604.

Carl Lee Brakman is licensed to practice in Illinois (license number 149002890) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1689188716.

Contact Information

	Carl Lee Brakman, LCSW
	800 Main St Ste 210, Antioch, IL 60002-1578
	(847) 903-5604
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Carl Lee Brakman
Gender	Male
Speciality	Social Worker - Clinical
Location	800 Main St Ste 210, Antioch, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689188716
Provider Enumeration Date: 11/28/2017
Last Update Date: 09/02/2022

Medicare PECOS Information:

PECOS PAC ID: 5294095261
Enrollment ID: I20180213000185

Medical Identifiers

Medical identifiers for Carl Lee Brakman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689188716	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	149002890 (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. Carl Lee Brakman allows following entities to bill medicare on his behalf.

Entity Name	Associated Clinical Psychologists, Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578665147 PECOS PAC ID: 4981991031 Enrollment ID: O20160919000110

Entity Name	Illinois Post-acute Medical Services 1 Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952830853 PECOS PAC ID: 6305112103 Enrollment ID: O20171023002483

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. Carl Lee Brakman 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
Carl Lee Brakman, LCSW 800 Main St Ste 210, Antioch, IL 60002-1578 Ph: (847) 903-5604	Carl Lee Brakman, LCSW 800 Main St Ste 210, Antioch, IL 60002-1578 Ph: (847) 903-5604

Reviews and Comments

Social Worker in Antioch, IL

Katie Angel, L.C.P.C. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 550 Main St, Antioch, IL 60002 Phone: 847-838-9904 Fax: 847-838-9907
Alecia Grever, LCPC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 800 Main St, Antioch, IL 60002 Phone: 847-838-9904 Fax: 847-587-6113
Jessica Gebbink, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 884 Hillside Ave, Antioch, IL 60002 Phone: 309-287-7050
Lori Cramer, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 800 Main St Ste 210, Antioch, IL 60002 Phone: 184-790-3560
Elizabeth Vogt, LCSW, CADC Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 41819 N Circle Dr, Antioch, IL 60002 Phone: 847-313-1435
Lori Kokaska, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 884 Hillside Ave, Antioch, IL 60002 Phone: 847-287-3138
Gail Emily Colman, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 800 Main St, Antioch, IL 60002 Phone: 773-936-4423 Fax: 219-933-6657

Carl Lee Brakman, LCSW - Medicare Clinical Social Worker in Antioch, IL