Jonathan Cavanaugh, in Blue Island, IL - Medicare Counselor Provider

Jonathan Cavanaugh, is a medicare enrolled "Counselor - Professional" provider in Blue Island, Illinois. His current practice location is 12145 Western Ave, Blue Island, Illinois. You can reach out to his office (for appointments etc.) via phone at (773) 432-6236.

Jonathan Cavanaugh is licensed to practice in Illinois (license number 180.008799) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1629374202.

Contact Information

	Jonathan Cavanaugh,
	12145 Western Ave, Blue Island, IL 60406-1387
	(773) 432-6236
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jonathan Cavanaugh
Gender	Male
Speciality	Counselor - Professional
Location	12145 Western Ave, Blue Island, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629374202
Provider Enumeration Date: 01/31/2011
Last Update Date: 12/23/2014

Medicare PECOS Information:

PECOS PAC ID: 5698215291
Enrollment ID: I20240910003204

Medical Identifiers

Medical identifiers for Jonathan Cavanaugh such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629374202	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	180.008799 (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. Jonathan Cavanaugh allows following entities to bill medicare on his behalf.

Entity Name	Cmc Healthcare Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295432334 PECOS PAC ID: 4688039209 Enrollment ID: O20230503001140

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. Jonathan Cavanaugh 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
Jonathan Cavanaugh, 12145 Western Ave, Blue Island, IL 60406-1387 Ph: () -	Jonathan Cavanaugh, 12145 Western Ave, Blue Island, IL 60406-1387 Ph: (773) 432-6236

Reviews and Comments

Counselor in Blue Island, IL

Randi Coley, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 12942 Page Ct, Blue Island, IL 60406 Phone: 708-593-4412
Ngozi Harris, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 12510 Vincennes Rd, Unit 4, Blue Island, IL 60406 Phone: 708-691-9424
Kristine Lynch, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 12740 Elm St, Blue Island, IL 60406 Phone: 773-599-0802
Shaneil Elizabeth Vance, Counselor Medicare: Medicare Enrolled Practice Location: 1750 Broadway St Trlr 3022, Blue Island, IL 60406 Phone: 773-943-0551
Nicole Frazier, Counselor Medicare: Not Enrolled in Medicare Practice Location: 13136 Western Ave, Blue Island, IL 60406 Phone: 708-974-5827
Andrea R. Boyd, MA, QMHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 13136 Western Ave, Blue Island, IL 60406 Phone: 708-974-5823 Fax: 708-371-4563
Melissa Coleman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 13136 Western Ave, Blue Island, IL 60406 Phone: 708-974-5849

Jonathan Cavanaugh, - Medicare Counselor in Blue Island, IL