Brian Smith Mccallum, in Crystal Lake, IL - Medicare Counselor Provider

Brian Smith Mccallum, is a medicare enrolled "Counselor" provider in Crystal Lake, Illinois. His current practice location is 9414 Route 176, Crystal Lake, Illinois. You can reach out to his office (for appointments etc.) via phone at (800) 361-6880.

Brian Smith Mccallum is licensed to practice in Illinois (license number 178.005657) 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 1962775734.

Contact Information

	Brian Smith Mccallum,
	9414 Route 176, Crystal Lake, IL 60014
	(800) 361-6880
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Brian Smith Mccallum
Gender	Male
Speciality	Counselor
Location	9414 Route 176, Crystal Lake, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962775734
Provider Enumeration Date: 02/09/2012
Last Update Date: 02/09/2012

Medicare PECOS Information:

PECOS PAC ID: 2860845773
Enrollment ID: I20240126003387

Medical Identifiers

Medical identifiers for Brian Smith Mccallum such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962775734	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	178.005657 (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. Brian Smith Mccallum allows following entities to bill medicare on his behalf.

Entity Name	Woodstock Therapist Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003358037 PECOS PAC ID: 6507133105 Enrollment ID: O20170602001149

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. Brian Smith Mccallum 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
Brian Smith Mccallum, 15127 S 73rd Ave, Suite G, Orland Park, IL 60462-4398 Ph: (800) 361-6880	Brian Smith Mccallum, 9414 Route 176, Crystal Lake, IL 60014 Ph: (800) 361-6880

Reviews and Comments

Counselor in Crystal Lake, IL

Ms. Kelly Lynne Canavan, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 650 E Terra Cotta Avenue, Unit 103, Crystal Lake, IL 60014 Phone: 815-979-2580 Fax: 815-354-3517
Jorge Roman, Counselor Medicare: Accepting Medicare Assignments Practice Location: 650 Dakota St Ste A, Crystal Lake, IL 60012 Phone: 815-334-5018 Fax: 815-356-1104
Ms. Stacey A Coleman, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 900 Pyott Rd Ste 102, Crystal Lake, IL 60014 Phone: 815-444-9076 Fax: 815-444-9079
Mr. Frank Morales, CRADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 N Virginia St, Crystal Lake, IL 60014 Phone: 815-459-0499 Fax: 815-788-0115
Susan Charles, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 610 Crystal Point Dr Ste 3, Crystal Lake, IL 60014 Phone: 815-981-1979
Meghan Joshi, Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 Coventry Ln, Suite 205, Crystal Lake, IL 60014 Phone: 314-308-2722
Gabrielle Anne Johnson, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 453 Coventry Ln Ste 103, Crystal Lake, IL 60014 Phone: 847-778-6992

Brian Smith Mccallum, - Medicare Counselor in Crystal Lake, IL