Shawna Brough, is a medicare enrolled "Psychologist - Clinical" provider in Flossmoor, Illinois. Her current practice location is
19530 Kedzie Ave, Flossmoor, Illinois. You can reach out to her office (for appointments etc.) via phone at
(708) 503-9670.
Shawna Brough is licensed to practice in Illinois (license number 071.011116) 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 1811547342.
Healthcare Provider's Profile
| Full Name | Shawna Brough |
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| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 19530 Kedzie Ave, Flossmoor, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1811547342
- Provider Enumeration Date: 09/17/2019
- Last Update Date: 07/03/2024
Medicare PECOS Information:
- PECOS PAC ID: 6507203585
- Enrollment ID: I20240326003259
Medical Identifiers
Medical identifiers for Shawna Brough such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1811547342 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | 071.011116 (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. Shawna Brough allows following entities to bill medicare on her behalf.
| Entity Name | Nexumhc Consultants, Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1851082598
PECOS PAC ID: 5698134005
Enrollment ID: O20230703002100 |
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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. Shawna Brough 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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Shawna Brough,
17746 Oak Park Ave,
Tinley Park, IL 60477-3936
Ph: (708) 444-1012 | Shawna Brough,
19530 Kedzie Ave,
Flossmoor, IL 60422-1778
Ph: (708) 503-9670 |
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