Brenda Marie Reavis, LCSW is a medicare enrolled "Counselor - Mental Health" provider in Evanston, Illinois. She graduated from medical school in 2017 and has 8 years of diverse experience with area of expertise as Clinical Social Worker. 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
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and 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 | Clinical Social Worker |
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| Experience | 8 Years |
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| Location | 825 Chicago Ave Fl 2a, Evanston, Illinois |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Brenda Marie Reavis graduated from medical school in 2017
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 |
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| 1295397669 | NPI | - | NPPES |
| 1295397669 | Medicaid | IL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 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 |
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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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