Ginger Kendell Brainard, is a medicare enrolled "Psychologist - Clinical Child & Adolescent" provider in La Salle, Illinois. Her current practice location is
2970 Chartres St, La Salle, Illinois. You can reach out to her office (for appointments etc.) via phone at
(815) 223-0196.
Ginger Kendell Brainard is licensed to practice in Illinois (license number 071006571) 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 1871842450.
Healthcare Provider's Profile
Full Name | Ginger Kendell Brainard |
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Gender | Female |
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Speciality | Psychologist - Clinical Child & Adolescent |
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Location | 2970 Chartres St, La Salle, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1871842450
- Provider Enumeration Date: 08/29/2012
- Last Update Date: 08/29/2012
Medicare PECOS Information:
- PECOS PAC ID: 5395194963
- Enrollment ID: I20231207001908
Medical Identifiers
Medical identifiers for Ginger Kendell Brainard such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1871842450 | NPI | - | NPPES |
071006571 | Other | IL | ILLINOIS LICENSE 071006571 |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC2200X | Psychologist - Clinical Child & Adolescent | 071006571 (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. Ginger Kendell Brainard allows following entities to bill medicare on her behalf.
Entity Name | Osf Multi-specialty Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
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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. Ginger Kendell Brainard 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 |
Ginger Kendell Brainard, 2970 Chartres St, La Salle, IL 61301-1097 Ph: (815) 223-0196 | Ginger Kendell Brainard, 2970 Chartres St, La Salle, IL 61301-1097 Ph: (815) 223-0196 |
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