Mr Benjamin Severance, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Chicago, Illinois. He graduated from healthcare school in 2013 and has 13 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Cmc Healthcare Llc 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.
Healthcare Provider's Profile
| Full Name | Mr Benjamin Severance |
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| Gender | Male |
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| Speciality | Clinical Social Worker |
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| Experience | 13 Years |
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| Location | 1203 W Augusta Blvd Ste 1, Chicago, Illinois |
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| 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 |
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 149020763 (Illinois) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Cmc Healthcare Llc | 4688039209 | 133 |
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 |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1174013452 PECOS PAC ID: 2365798410 Enrollment ID: O20180703002838 |
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| Entity Name | Bespoke Psychiatry |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1952937104 PECOS PAC ID: 3274951744 Enrollment ID: O20200915002352 |
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| Entity Name | Cmc Healthcare LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1295432334 PECOS PAC ID: 4688039209 Enrollment ID: O20230503001140 |
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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. 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 |
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