Sherry Brendalen, LPC in Pontiac, IL - Medicare Counselor Provider

Sherry Brendalen, LPC is a medicare enrolled "Counselor - Mental Health" provider in Pontiac, Illinois. Her current practice location is 920 W Custer Ave, Pontiac, Illinois. You can reach out to her office (for appointments etc.) via phone at (815) 844-6109.

Sherry Brendalen is licensed to practice in Illinois (license number 180-006484) 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 1518162676.

Contact Information

	Sherry Brendalen, LPC
	920 W Custer Ave, Pontiac, IL 61764-1067
	(815) 844-6109
	(815) 844-3561

Map and Direction

Healthcare Provider's Profile

Full Name	Sherry Brendalen
Gender	Female
Speciality	Counselor - Mental Health
Location	920 W Custer Ave, Pontiac, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1518162676
Provider Enumeration Date: 06/19/2007
Last Update Date: 11/11/2021

Medicare PECOS Information:

PECOS PAC ID: 0840641221
Enrollment ID: I20240110001957

Medical Identifiers

Medical identifiers for Sherry Brendalen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518162676	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	180-006484 (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. Sherry Brendalen allows following entities to bill medicare on her behalf.

Entity Name	Carle West Physician Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467074138 PECOS PAC ID: 8921420308 Enrollment ID: O20200613000147

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. Sherry Brendalen 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
Sherry Brendalen, LPC Po Box 768, Pontiac, IL 61764-0768 Ph: () -	Sherry Brendalen, LPC 920 W Custer Ave, Pontiac, IL 61764-1067 Ph: (815) 844-6109

Reviews and Comments

Counselor in Pontiac, IL

Lauren Whitecotton, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 920 W Custer Ave, Pontiac, IL 61764 Phone: 815-844-6109
Brittany Henson, MHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 920 W Custer Ave, Pontiac, IL 61764 Phone: 815-844-6109 Fax: 815-844-3561
Tiffany Meints, Counselor Medicare: Not Enrolled in Medicare Practice Location: 310 E Torrance Ave, Pontiac, IL 61764 Phone: 815-844-6109 Fax: 815-844-3561
Meredith M Spraggon, MHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 920 W Custer Ave, Pontiac, IL 61764 Phone: 815-844-6109 Fax: 815-844-3561
Katie Kennedy, Counselor Medicare: Not Enrolled in Medicare Practice Location: 920 W Custer Ave, Pontiac, IL 61764 Phone: 815-844-6109 Fax: 815-844-3561
Rhonda Looney, HS Counselor Medicare: Not Enrolled in Medicare Practice Location: 920 W Custer Ave, Pontiac, IL 61764 Phone: 815-844-6109 Fax: 815-844-3561
Lauren Black, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 920 W Custer Ave, Pontiac, IL 61764 Phone: 815-844-6109 Fax: 815-844-3561

Sherry Brendalen, LPC - Medicare Counselor in Pontiac, IL