Byeol Shim, in Addison, IL - Medicare Counselor Provider

Byeol Shim, is a medicare enrolled "Counselor - Professional" provider in Addison, Illinois. Her current practice location is 303 W Lake St Ste 301, Addison, Illinois. You can reach out to her office (for appointments etc.) via phone at (331) 221-1650.

Byeol Shim is licensed to practice in Illinois (license number 180015217) 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 1003503699.

Contact Information

	Byeol Shim,
	303 W Lake St Ste 301, Addison, IL 60101-2565
	(331) 221-1650
	(331) 221-2710

Map and Direction

Healthcare Provider's Profile

Full Name	Byeol Shim
Gender	Female
Speciality	Counselor - Professional
Location	303 W Lake St Ste 301, Addison, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003503699
Provider Enumeration Date: 04/24/2023
Last Update Date: 02/26/2024

Medicare PECOS Information:

PECOS PAC ID: 9436597283
Enrollment ID: I20240329001763

Medical Identifiers

Medical identifiers for Byeol Shim such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003503699	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	180015217 (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. Byeol Shim allows following entities to bill medicare on her behalf.

Entity Name	Endeavor Health Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118

Entity Name	Mathers Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316237530 PECOS PAC ID: 7214111582 Enrollment ID: O20110411000671

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. Byeol Shim 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
Byeol Shim, 303 W Lake St Ste 301, Addison, IL 60101-2565 Ph: (331) 221-1650	Byeol Shim, 303 W Lake St Ste 301, Addison, IL 60101-2565 Ph: (331) 221-1650

Reviews and Comments

Counselor in Addison, IL

Amy Bossman, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 875 S Ardmore Ave, Addison, IL 60101 Phone: 630-682-7400
Tessa Helena Magnanimo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1111 W Lake St, Addison, IL 60101 Phone: 630-682-7400
John Schroeder, LPC, NBCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 303 W Lake St, Addison, IL 60101 Phone: 630-527-3200
Robin Zazove, Counselor Medicare: Medicare Enrolled Practice Location: 2171 W Executive Dr, Suite 450, Addison, IL 60101 Phone: 224-436-7392
Jaclyn Laporte, MS, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3 Friendship Plz, Addison, IL 60101 Phone: 630-384-9733
Kyle Alexander James, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1111 W Lake St, Addison, IL 60101 Phone: 630-682-7400

Byeol Shim, - Medicare Counselor in Addison, IL