Brad Burklow, MS LCPC in Eldorado, IL - Medicare Counselor Provider

Brad Burklow, MS LCPC is a medicare enrolled "Counselor - Mental Health" provider in Eldorado, Illinois. His current practice location is 1412 Us Highway 45 N, Eldorado, Illinois. You can reach out to his office (for appointments etc.) via phone at (618) 273-3326.

Brad Burklow is licensed to practice in Illinois (license number 180.004663) 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 1679912042.

Contact Information

	Brad Burklow, MS LCPC
	1412 Us Highway 45 N, Eldorado, IL 62930-3766
	(618) 273-3326
	(618) 273-3585

Map and Direction

Healthcare Provider's Profile

Full Name	Brad Burklow
Gender	Male
Speciality	Counselor - Mental Health
Location	1412 Us Highway 45 N, Eldorado, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679912042
Provider Enumeration Date: 06/19/2013
Last Update Date: 06/19/2013

Medicare PECOS Information:

PECOS PAC ID: 4284869660
Enrollment ID: I20240327002555

Medical Identifiers

Medical identifiers for Brad Burklow such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679912042	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	180.004663 (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. Brad Burklow allows following entities to bill medicare on his behalf.

Entity Name	Fox Valley Institute For Growth And Wellness Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174637334 PECOS PAC ID: 0244285617 Enrollment ID: O20050318000054

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. Brad Burklow 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
Brad Burklow, MS LCPC 1412 Us Highway 45 N, Eldorado, IL 62930-3766 Ph: (618) 273-3326	Brad Burklow, MS LCPC 1412 Us Highway 45 N, Eldorado, IL 62930-3766 Ph: (618) 273-3326

Reviews and Comments

Counselor in Eldorado, IL

Mikayla Riggs, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1418 Us Highway 45 N, Eldorado, IL 62930 Phone: 618-499-7688
Donna K White-land, MSW, LCSW, QMHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1412 Us Highway 45 N, Eldorado, IL 62930 Phone: 618-273-3326 Fax: 618-273-2808
Sherry Chrisman, BA, CADC, MISA I Counselor Medicare: Not Enrolled in Medicare Practice Location: 1412 Us Highway 45 N, Eldorado, IL 62930 Phone: 618-273-3326 Fax: 618-273-3585
Mrs. Jerrie Renee Baxley-brown, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1412 Us Highway 45 N, Eldorado, IL 62930 Phone: 618-273-3326
Gary Hamilton, MSW, LSW, CADC, QMHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1412 Us Highway 45 N, Eldorado, IL 62930 Phone: 618-273-3326 Fax: 618-273-2808
Maranda Pedigo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1200 Locust St, Eldorado, IL 62930 Phone: 618-252-9036
Leslie Merritt, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1412 Us Highway 45 N, Eldorado, IL 62930 Phone: 618-273-3326

Brad Burklow, MS LCPC - Medicare Counselor in Eldorado, IL