Victoria Mourning, in Dekalb, IL - Medicare Counselor Provider

Victoria Mourning, is a medicare enrolled "Counselor - Professional" provider in Dekalb, Illinois. Her current practice location is 12 Health Services Dr, Dekalb, Illinois. You can reach out to her office (for appointments etc.) via phone at (815) 756-4875.

Victoria Mourning is licensed to practice in Illinois (license number 180.010446) 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 1942613104.

Contact Information

	Victoria Mourning,
	12 Health Services Dr, Dekalb, IL 60115-9637
	(815) 756-4875
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Victoria Mourning
Gender	Female
Speciality	Counselor - Professional
Location	12 Health Services Dr, Dekalb, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1942613104
Provider Enumeration Date: 06/05/2014
Last Update Date: 11/06/2023

Medicare PECOS Information:

PECOS PAC ID: 6103273925
Enrollment ID: I20231229000726

Medical Identifiers

Medical identifiers for Victoria Mourning such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942613104	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	180.010446 (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. Victoria Mourning allows following entities to bill medicare on her behalf.

Entity Name	Dekalb Behavioral Health Foundation, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255703450 PECOS PAC ID: 9436451655 Enrollment ID: O20160111000872

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. Victoria Mourning 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
Victoria Mourning, Po Box 1109, Dekalb, IL 60115-7109 Ph: (815) 756-4875	Victoria Mourning, 12 Health Services Dr, Dekalb, IL 60115-9637 Ph: (815) 756-4875

Reviews and Comments

Counselor in Dekalb, IL

Christi Johnson, B.S., M.H.P. Counselor Medicare: Not Enrolled in Medicare Practice Location: 12 Health Services Dr, Dekalb, IL 60115 Phone: 815-756-4875 Fax: 815-756-5849
Victoria Tullock, MSW Counselor Medicare: Medicare Enrolled Practice Location: 631 South First St., Dekalb, IL 60115 Phone: 815-756-8501
Christine Alexandra Espe Maxwell, MSED, LCPC, NCC Counselor Medicare: Medicare Enrolled Practice Location: 12 Health Services Dr, Dekalb, IL 60115 Phone: 815-756-4875 Fax: 815-756-2944
Alexis Herod, Counselor Medicare: Not Enrolled in Medicare Practice Location: 304 N 6th St, Dekalb, IL 60115 Phone: 815-375-5261
Ms. Deborah M Geiger, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 14 Health Services Drive, Dekalb, IL 60115 Phone: 815-758-8616 Fax: 815-758-7569
Jasmine Young, Counselor Medicare: Not Enrolled in Medicare Practice Location: 14 Health Services Dr, Dekalb, IL 60115 Phone: 815-758-8616
Tracy A Diehl, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 570 Devonaire Pkwy, Dekalb, IL 60115 Phone: 815-761-3382

Victoria Mourning, - Medicare Counselor in Dekalb, IL