Brandi S Qualls, LCPC in Olympia Fields, IL - Medicare Counselor Provider

Brandi S Qualls, LCPC is a medicare enrolled "Counselor - Professional" provider in Olympia Fields, Illinois. Her current practice location is 3506 Ionia Ave, Olympia Fields, Illinois. You can reach out to her office (for appointments etc.) via phone at (708) 238-4525.

Brandi S Qualls is licensed to practice in Illinois (license number 180014842) 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 1447995691.

Contact Information

	Brandi S Qualls, LCPC
	3506 Ionia Ave, Olympia Fields, IL 60461-1315
	(708) 238-4525
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Brandi S Qualls
Gender	Female
Speciality	Counselor - Professional
Location	3506 Ionia Ave, Olympia Fields, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1447995691
Provider Enumeration Date: 05/02/2022
Last Update Date: 02/07/2023

Medicare PECOS Information:

PECOS PAC ID: 3870003817
Enrollment ID: I20250610000815

Medical Identifiers

Medical identifiers for Brandi S Qualls such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447995691	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	178017977 (Illinois)	Secondary
101YP2500X	Counselor - Professional	180014842 (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. Brandi S Qualls allows following entities to bill medicare on her behalf.

Entity Name	Community Healthnet Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952332298 PECOS PAC ID: 6305852344 Enrollment ID: O20060228000318

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. Brandi S Qualls 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
Brandi S Qualls, LCPC 18515 Country Ln, Lansing, IL 60438-2582 Ph: (708) 955-6939	Brandi S Qualls, LCPC 3506 Ionia Ave, Olympia Fields, IL 60461-1315 Ph: (708) 238-4525

Reviews and Comments

Counselor in Olympia Fields, IL

Ms. Shirley Ann Golladay, MHS, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 20303 Crawford Ave, Suite 100, Olympia Fields, IL 60461 Phone: 708-747-9399 Fax: 708-747-1908
Dr. Dena High-rogers, ED.D Counselor Medicare: Not Enrolled in Medicare Practice Location: 20200 Governors Drive, 3rd Floor Suite 561, Olympia Fields, IL 60461 Phone: 708-612-3682
Dr. Mille Jean Martin, ED.D., LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 20824 Corinth Road, Olympia Fields, IL 60461 Phone: 708-481-5499 Fax: 708-747-1001
Victoria Mims, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 20280 Governors Hwy Ste 105, Olympia Fields, IL 60461 Phone: 312-248-3481
Dajonese Turner, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 20200 Governors Dr Fl 3, Olympia Fields, IL 60461 Phone: 773-990-0687 Fax: 773-304-1462
Kassaundra Crawford, Counselor Medicare: Not Enrolled in Medicare Practice Location: 19990 Governors Hwy, Olympia Fields, IL 60461 Phone: 708-747-7168
Zakette Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3615 Park Dr, Olympia Fields, IL 60461 Phone: 630-506-6321

Brandi S Qualls, LCPC - Medicare Counselor in Olympia Fields, IL