Breanne Ashly Pedersen, in Algonquin, IL - Medicare Counselor Provider

Breanne Ashly Pedersen, is a medicare enrolled "Counselor - Mental Health" provider in Algonquin, Illinois. Her current practice location is 265 Stonegate Rd Ste 102, Algonquin, Illinois. You can reach out to her office (for appointments etc.) via phone at (224) 678-9180.

Breanne Ashly Pedersen is licensed to practice in Illinois (license number 178015896) 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 1003433715.

Contact Information

	Breanne Ashly Pedersen,
	265 Stonegate Rd Ste 102, Algonquin, IL 60102-5614
	(224) 678-9180
	(224) 678-9369

Map and Direction

Healthcare Provider's Profile

Full Name	Breanne Ashly Pedersen
Gender	Female
Speciality	Counselor - Mental Health
Location	265 Stonegate Rd Ste 102, Algonquin, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003433715
Provider Enumeration Date: 06/29/2020
Last Update Date: 09/18/2023

Medicare PECOS Information:

PECOS PAC ID: 5991238438
Enrollment ID: I20241023001022

Medical Identifiers

Medical identifiers for Breanne Ashly Pedersen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003433715	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	178015896 (Illinois)	Secondary
101YM0800X	Counselor - Mental Health	178015896 (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. Breanne Ashly Pedersen allows following entities to bill medicare on her behalf.

Entity Name	Adaptive Counseling And Case Management Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588906119 PECOS PAC ID: 8921248139 Enrollment ID: O20130711000836

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. Breanne Ashly Pedersen 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
Breanne Ashly Pedersen, 265 Stonegate Rd Ste 102, Algonquin, IL 60102-5614 Ph: (224) 678-9180	Breanne Ashly Pedersen, 265 Stonegate Rd Ste 102, Algonquin, IL 60102-5614 Ph: (224) 678-9180

Reviews and Comments

Counselor in Algonquin, IL

Suzanne Leigh, Counselor Medicare: Not Enrolled in Medicare Practice Location: 265 Stonegate Rd Ste 102, Algonquin, IL 60102 Phone: 224-678-9180
Danielle Ricciarelli, LCPC, CFTP, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2100 Huntington Dr N Ste B, Algonquin, IL 60102 Phone: 777-779-7335
Olivia Surprenant, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1146 N Main St, Algonquin, IL 60102 Phone: 847-382-4673
Brandy Hanson, MS, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 214 N Main St, Algonquin, IL 60102 Phone: 847-854-4333
Ms. Leanne Goodwin, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 265 Stonegate Rd Ste 102, Algonquin, IL 60102 Phone: 224-678-9180 Fax: 224-678-9369
Dr. Cathryn Perfetti, PHD, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 265 Stonegate Rd Ste 102, Algonquin, IL 60102 Phone: 224-678-9180 Fax: 224-678-9369

Breanne Ashly Pedersen, - Medicare Counselor in Algonquin, IL