Kaitlyn O'brien, LPC in Rockford, IL - Medicare Counselor Provider

Kaitlyn O'brien, LPC is a medicare enrolled "Counselor - Mental Health" provider in Rockford, Illinois. Her current practice location is 2704 N Main St, Rockford, Illinois. You can reach out to her office (for appointments etc.) via phone at (815) 720-5063.

Kaitlyn O'brien is licensed to practice in Illinois (license number 178017085) 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 1912578469.

Contact Information

	Kaitlyn O'brien, LPC
	2704 N Main St, Rockford, IL 61103-3112
	(815) 720-5063
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kaitlyn O'brien
Gender	Female
Speciality	Counselor - Mental Health
Location	2704 N Main St, Rockford, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912578469
Provider Enumeration Date: 07/06/2021
Last Update Date: 07/06/2021

Medicare PECOS Information:

PECOS PAC ID: 5698119410
Enrollment ID: I20241231000098

Medical Identifiers

Medical identifiers for Kaitlyn O'brien such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912578469	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	178017085 (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. Kaitlyn O'brien allows following entities to bill medicare on her behalf.

Entity Name	Willow Creek Counseling Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144941394 PECOS PAC ID: 8325415102 Enrollment ID: O20221108001615

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. Kaitlyn O'brien 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
Kaitlyn O'brien, LPC 1021 N Mulford Rd, Rockford, IL 61107-3874 Ph: () -	Kaitlyn O'brien, LPC 2704 N Main St, Rockford, IL 61103-3112 Ph: (815) 720-5063

Reviews and Comments

Counselor in Rockford, IL

Stephanie Yates, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6072 Brynwood Dr Ste 107, Rockford, IL 61114 Phone: 815-846-0684
Logan John Chapman-neal, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1601 University Dr, Rockford, IL 61107 Phone: 815-391-1000
Charlene J Donahoe, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4869 Linden Rd Apt 221, Rockford, IL 61109 Phone: 815-980-8621
Holly Brun, Counselor Medicare: Medicare Enrolled Practice Location: 8616 Northern Ave, Rockford, IL 61107 Phone: 815-332-8003
Jeremy Adon Mcintosh, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1601 University Dr, Rockford, IL 61107 Phone: 815-391-1000
Angie Tompkins, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6066 Strathmoor Dr Ste 2, Rockford, IL 61107 Phone: 815-324-3979
Ms. Eileen H Mccarten, MS, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3600 E State St Ste 316, Rockford, IL 61108 Phone: 815-877-7228 Fax: 815-877-8172

Kaitlyn O'brien, LPC - Medicare Counselor in Rockford, IL