Brenna Bourke, LCSW in Evanston, IL - Medicare Social Worker Provider

Brenna Bourke, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Evanston, Illinois. Her current practice location is 1718 Sherman Ave Ste 210, Evanston, Illinois. You can reach out to her office (for appointments etc.) via phone at (847) 577-1501.

Brenna Bourke is licensed to practice in Illinois (license number 149.017804) 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 1578034245.

Contact Information

	Brenna Bourke, LCSW
	1718 Sherman Ave Ste 210, Evanston, IL 60201-5610
	(847) 577-1501
	(847) 577-3858

Map and Direction

Healthcare Provider's Profile

Full Name	Brenna Bourke
Gender	Female
Speciality	Social Worker - Clinical
Location	1718 Sherman Ave Ste 210, Evanston, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578034245
Provider Enumeration Date: 12/06/2018
Last Update Date: 04/10/2019

Medicare PECOS Information:

PECOS PAC ID: 3072945468
Enrollment ID: I20191125000800

Medical Identifiers

Medical identifiers for Brenna Bourke such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578034245	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	149.017804 (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. Brenna Bourke allows following entities to bill medicare on her behalf.

Entity Name	Lake Cook Psychologists And Counseling Associates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609975234 PECOS PAC ID: 4183638943 Enrollment ID: O20060131000780

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. Brenna Bourke 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
Brenna Bourke, LCSW 1112 N Hoyne Ave, Chicago, IL 60622-3620 Ph: (708) 721-1288	Brenna Bourke, LCSW 1718 Sherman Ave Ste 210, Evanston, IL 60201-5610 Ph: (847) 577-1501

Reviews and Comments

Social Worker in Evanston, IL

Tabitha Ledbetter, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 355 Ridge Ave Fl 2, Evanston, IL 60202 Phone: 847-316-6262 Fax: 847-316-2214
Kathleen Ann Valadez, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 355 Ridge Ave Fl 2, Evanston, IL 60202 Phone: 847-316-3703
Kathleen A. Bogie, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2143 Lincolnwood Dr, Evanston, IL 60201 Phone: 224-392-5467
Gabrielle Celia Stern, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2530 Crawford Ave Ste 207, Evanston, IL 60201 Phone: 847-732-5305
Susan Burkhardt, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1005 Mulford St, Evanston, IL 60202 Phone: 847-328-8207
Ellen Kenemore, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 708 Church St, Suite 227, Evanston, IL 60201 Phone: 847-491-0080 Fax: 847-251-1266
Nora Josephine Walsh, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 636 Church St Ste 507, Evanston, IL 60201 Phone: 847-409-6288

Brenna Bourke, LCSW - Medicare Clinical Social Worker in Evanston, IL