Michael W Bradburn, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Naperville, Illinois. He graduated from healthcare school in 1995 and has 29 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Samaritan Interfaith Counseling Center Inc and his current practice location is
1819 Bay Scott Cir, Suite 109, Naperville, Illinois. You can reach out to his office (for appointments etc.) via phone at
(630) 357-2456.
Michael W Bradburn is licensed to practice in Illinois (license number 149.008325) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1205140811.
Healthcare Provider's Profile
| Full Name | Michael W Bradburn |
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| Gender | Male |
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| Speciality | Clinical Social Worker |
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| Experience | 29 Years |
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| Location | 1819 Bay Scott Cir, Naperville, Illinois |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Michael W Bradburn graduated from medical school in 1995
NPI Data:
- NPI Number: 1205140811
- Provider Enumeration Date: 08/06/2010
- Last Update Date: 08/01/2013
Medicare PECOS Information:
- PECOS PAC ID: 4880836873
- Enrollment ID: I20130802000829
Medical Identifiers
Medical identifiers for Michael W Bradburn such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1205140811 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YP1600X | Counselor - Pastoral | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 149.008325 (Illinois) | Primary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Samaritan Interfaith Counseling Center Inc | 8426014994 | 18 |
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. Michael W Bradburn allows following entities to bill medicare on his behalf.
| Entity Name | Samaritan Interfaith Counseling Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1497842983
PECOS PAC ID: 8426014994
Enrollment ID: O20041207000048 |
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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. Michael W Bradburn 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 |
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Michael W Bradburn, LCSW
1819 Bay Scott Cir, Suite 109,
Naperville, IL 60540-1129
Ph: (630) 357-2456 | Michael W Bradburn, LCSW
1819 Bay Scott Cir, Suite 109,
Naperville, IL 60540-1129
Ph: (630) 357-2456 |
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