Mr Benjamin Severance, LCSW in Chicago, IL - Medicare Clinical Social Worker Provider

Mr Benjamin Severance, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Chicago, Illinois. He graduated from medical school in 2013 and has 12 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Bespoke Psychiatry and his current practice location is 1203 W Augusta Blvd Ste 1, Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at (773) 248-2255.

Mr Benjamin Severance is licensed to practice in Illinois (license number 149020763) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1902178379.

Contact Information

	Mr Benjamin Severance, LCSW
	1203 W Augusta Blvd Ste 1, Chicago, IL 60642-4327
	(773) 248-2255
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Benjamin Severance
Gender	Male
Speciality	Clinical Social Worker
Experience	12 Years
Location	1203 W Augusta Blvd Ste 1, Chicago, Illinois
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Benjamin Severance graduated from medical school in 2013

NPI Data:

NPI Number: 1902178379
Provider Enumeration Date: 02/01/2012
Last Update Date: 03/03/2025

Medicare PECOS Information:

PECOS PAC ID: 7012328529
Enrollment ID: I20201203003110

Medical Identifiers

Medical identifiers for Mr Benjamin Severance such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902178379	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	149020763 (Illinois)	Primary
101Y00000X	Counselor	(* (Not Available))	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Bespoke Psychiatry	3274951744	42

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. Mr Benjamin Severance allows following entities to bill medicare on his behalf.

Entity Name	Vitae Health Medical Illinois, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174013452 PECOS PAC ID: 2365798410 Enrollment ID: O20180703002838

Entity Name	Bespoke Psychiatry
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952937104 PECOS PAC ID: 3274951744 Enrollment ID: O20200915002352

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. Mr Benjamin Severance 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
Mr Benjamin Severance, LCSW 1203 W Augusta Blvd Ste 1, Chicago, IL 60642-4327 Ph: (773) 248-2255	Mr Benjamin Severance, LCSW 1203 W Augusta Blvd Ste 1, Chicago, IL 60642-4327 Ph: (773) 248-2255

Reviews and Comments

Social Worker in Chicago, IL

Ms. Deborah Lee Jackson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2820 W Peterson Ave, Chicago, IL 60659 Phone: 773-293-8437 Fax: 773-728-4751
Mrs. Melinda D Berry, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8240 S Sacramento Ave, Chicago, IL 60652 Phone: 312-316-7977
Mr. Greg Rosen, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1525 E 53rd St, #630, Chicago, IL 60615 Phone: 773-752-8808
Mrs. Imelda Gloria Ferreira, LCWS Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4150 W. 55th Street, Chicago, IL 60632 Phone: 312-745-1566
Mr. John Anthony Knoerzer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3850 W Sunnyside Ave, #304, Chicago, IL 60625 Phone: 773-234-1517
Aren M. Drehobl, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5756 N Ridge Ave Ste 10, Chicago, IL 60660 Phone: 773-263-4168
Ms. Aviva Cahn, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 333 N Michigan Ave, Suite 1801, Chicago, IL 60601 Phone: 773-301-8576

Mr Benjamin Severance, LCSW - Medicare Clinical Social Worker in Chicago, IL