Jayme Evelyn Bradshaw, LCSW in Pontiac, IL - Medicare Social Worker Provider

Jayme Evelyn Bradshaw, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Pontiac, Illinois. Her current practice location is 735 S Locust St, Pontiac, Illinois. You can reach out to her office (for appointments etc.) via phone at (815) 690-7170.

Jayme Evelyn Bradshaw is licensed to practice in Illinois (license number 149014853) 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 1780316166.

Contact Information

	Jayme Evelyn Bradshaw, LCSW
	735 S Locust St, Pontiac, IL 61764-2632
	(815) 690-7170
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jayme Evelyn Bradshaw
Gender	Female
Speciality	Social Worker - Clinical
Location	735 S Locust St, Pontiac, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780316166
Provider Enumeration Date: 06/25/2022
Last Update Date: 06/25/2022

Medicare PECOS Information:

PECOS PAC ID: 0345697751
Enrollment ID: I20231107001535

Medical Identifiers

Medical identifiers for Jayme Evelyn Bradshaw such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780316166	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	149014853 (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. Jayme Evelyn Bradshaw allows following entities to bill medicare on her behalf.

Entity Name	Positive Direction Counseling Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093441719 PECOS PAC ID: 0547617953 Enrollment ID: O20231107001404

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. Jayme Evelyn Bradshaw 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
Jayme Evelyn Bradshaw, LCSW 735 S Locust St, Pontiac, IL 61764-2632 Ph: (815) 690-7170	Jayme Evelyn Bradshaw, LCSW 735 S Locust St, Pontiac, IL 61764-2632 Ph: (815) 690-7170

Reviews and Comments

Social Worker in Pontiac, IL

Mrs. Ashley Nichole Frizzell, LCSW, CADC Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 310 E Howard St, Pontiac, IL 61764 Phone: 815-791-2955
Patricia Mortensen, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 310 E Torrance Ave, Pontiac, IL 61764 Phone: 815-844-6109 Fax: 815-844-3561
Judy Ripsch, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 325 E Timber St # A, Pontiac, IL 61764 Phone: 815-844-2610 Fax: 815-844-2652
Jessica J Siwak, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 920 W Custer Ave, Pontiac, IL 61764 Phone: 815-844-6109 Fax: 815-844-3561
Ms. Ann Christine Crumpler, MSSW LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2500 W Reynolds St, Suite 207 St. James Hospital, Psychology Specialists, Pontiac, IL 61764 Phone: 815-579-9002 Fax: 309-588-4115
Carrie Hamilton, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 920 W Custer Ave, Pontiac, IL 61764 Phone: 815-844-6109 Fax: 815-844-3561
Kaleigh Berry, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 310 E Torrance Ave, Pontiac, IL 61764 Phone: 815-844-6109

Jayme Evelyn Bradshaw, LCSW - Medicare Clinical Social Worker in Pontiac, IL