Laureen Michele Brotan, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Village Of Lakewood, Illinois. She graduated from medical school in 1989 and has 36 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Blue Moon Senior Counseling Of Illinois Llc and her current practice location is
8425 Owl Ct, Village Of Lakewood, Illinois. You can reach out to her office (for appointments etc.) via phone at
(847) 707-7220.
Laureen Michele Brotan is licensed to practice in Illinois (license number 1490.15470) 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 1548086077.
Healthcare Provider's Profile
| Full Name | Laureen Michele Brotan |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 36 Years |
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| Location | 8425 Owl Ct, Village Of Lakewood, 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. |
Medical Education and Training:
- Laureen Michele Brotan graduated from medical school in 1989
NPI Data:
- NPI Number: 1548086077
- Provider Enumeration Date: 11/30/2024
- Last Update Date: 11/30/2024
Medicare PECOS Information:
- PECOS PAC ID: 5496275679
- Enrollment ID: I20250218002259
Medical Identifiers
Medical identifiers for Laureen Michele Brotan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1548086077 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1041C0700X | Social Worker - Clinical | 1490.15470 (Illinois) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Blue Moon Senior Counseling Of Illinois Llc | 7012172893 | 28 |
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. Laureen Michele Brotan allows following entities to bill medicare on her behalf.
| Entity Name | Blue Moon Senior Counseling Of Illinois Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1841562931 PECOS PAC ID: 7012172893 Enrollment ID: O20120628000431 |
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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. Laureen Michele Brotan 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 |
Laureen Michele Brotan, LCSW 8425 Owl Ct, Village Of Lakewood, IL 60014-3323 Ph: (847) 707-7220 | Laureen Michele Brotan, LCSW 8425 Owl Ct, Village Of Lakewood, IL 60014-3323 Ph: (847) 707-7220 |
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