Brenda Marie Reavis, LCSW is a medicare enrolled "Counselor - Mental Health" provider in Evanston, Illinois. Her current practice location is 
825 Chicago Ave Fl 2a, Evanston, Illinois. You can reach out to her office (for appointments etc.) via phone at 
(312) 725-4088.
Brenda Marie Reavis is licensed to practice in Illinois (license number 149.021279) 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 1295397669.
				
				
				
				
				
		 
		
		 
Healthcare Provider's Profile
		
			
			
			| Full Name | Brenda Marie Reavis | 
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| Gender | Female | 
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| Speciality | Counselor - Mental Health | 
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| Location | 825 Chicago Ave Fl 2a, Evanston, 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: 1295397669
 - Provider Enumeration Date: 07/05/2019
 - Last Update Date: 05/20/2025
 			
			  Medicare PECOS Information:
- PECOS PAC ID: 2769905785
 - Enrollment ID: I20250407002368
 
			 
		 
		 
Medical Identifiers
		Medical identifiers for Brenda Marie Reavis such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
		| 1295397669 | NPI | - | NPPES | 
| 1295397669 | Medicaid | IL |  | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
		| 1041C0700X | Social Worker - Clinical  | 149.021279 (Illinois) | Secondary | 
| 101YM0800X | Counselor - Mental Health  | 149.021279 (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. Brenda Marie Reavis allows following entities to bill medicare on her behalf.
| Entity Name | Orange Tree Counseling And Consulting, Llc | 
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| Entity Type | Part B Supplier - Clinic/group Practice | 
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| Entity Identifiers | NPI Number: 1508452434 PECOS PAC ID: 0941723969 Enrollment ID: O20250401000484 | 
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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. Brenda Marie Reavis 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 | 
		Brenda Marie Reavis, LCSW 155 N Michigan Ave Ste 723, Chicago, IL 60601-7707 Ph: (312) 725-4088 | Brenda Marie Reavis, LCSW 825 Chicago Ave Fl 2a, Evanston, IL 60202-2375 Ph: (312) 725-4088 | 
		
		 
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