Tara Brinkoetter, in Bloomington, IL - Medicare Clinical Social Worker Provider

Tara Brinkoetter, is a medicare enrolled "Social Worker - Clinical" provider in Bloomington, Illinois. She graduated from medical school in 2008 and has 16 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Board Of Trustees Of Southern Illinois University and her current practice location is 108 W Market St, Bloomington, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 827-5351.

Tara Brinkoetter is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1669639050.

Contact Information

	Tara Brinkoetter,
	108 W Market St, Bloomington, IL 61701-3918
	(309) 827-5351
	(309) 829-6808

Map and Direction

Healthcare Provider's Profile

Full Name	Tara Brinkoetter
Gender	Female
Speciality	Clinical Social Worker
Experience	16 Years
Location	108 W Market St, Bloomington, Illinois
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Tara Brinkoetter graduated from medical school in 2008

NPI Data:

NPI Number: 1669639050
Provider Enumeration Date: 05/22/2008
Last Update Date: 10/20/2020

Medicare PECOS Information:

PECOS PAC ID: 4587912803
Enrollment ID: I20180802002611

Medical Identifiers

Medical identifiers for Tara Brinkoetter such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669639050	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	(* (Not Available))	Primary
104100000X	Social Worker	(* (Not Available))	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Board Of Trustees Of Southern Illinois University	4486667888	96

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. Tara Brinkoetter allows following entities to bill medicare on her behalf.

Entity Name	Board Of Trustees Of Southern Illinois University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396097960 PECOS PAC ID: 4486667888 Enrollment ID: O20130424001019

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. Tara Brinkoetter 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
Tara Brinkoetter, 1698 Fort Jesse Rd, Apt. 4, Normal, IL 61761-2219 Ph: (217) 855-7777	Tara Brinkoetter, 108 W Market St, Bloomington, IL 61701-3918 Ph: (309) 827-5351

Reviews and Comments

Social Worker in Bloomington, IL

Hannah Deterding, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 108 W Market St, Bloomington, IL 61701 Phone: 309-827-5351
Sara Fidlow, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1003 Martin Luther King Dr, Bloomington, IL 61701 Phone: 309-827-6026
Daniela Michelle Van Pelt, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 702 W Chestnut St, Bloomington, IL 61701 Phone: 888-924-3786 Fax: 309-820-3574
Jaylene Taubert, MSW LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 712 E Empire St Ste 1, Bloomington, IL 61701 Phone: 309-310-2841
Zoe Jane Baker, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 205 N Williamsburg Dr Ste A, Bloomington, IL 61704 Phone: 309-807-5077
Ms. Johanna Rayman, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 200 W Monroe St, Suite 301, Bloomington, IL 61701 Phone: 309-310-5453
Danielle D Beasley, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 108 W Market St, Bloomington, IL 61701 Phone: 309-827-5351 Fax: 309-829-6808

Tara Brinkoetter, - Medicare Clinical Social Worker in Bloomington, IL