Ms Tiffany Lynn Bongiorno, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Addison, Illinois. She graduated from healthcare school in 2012 and has 14 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Endeavor Health Medical Group and her current practice location is
303 W Lake St Ste 304, Addison, Illinois. You can reach out to her office (for appointments etc.) via phone at
(331) 221-1650.
Ms Tiffany Lynn Bongiorno is licensed to practice in Illinois (license number 149018601) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1912182148.
Healthcare Provider's Profile
| Full Name | Ms Tiffany Lynn Bongiorno |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 14 Years |
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| Location | 303 W Lake St Ste 304, Addison, Illinois |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Ms Tiffany Lynn Bongiorno graduated from medical school in 2012
NPI Data:
- NPI Number: 1912182148
- Provider Enumeration Date: 01/07/2008
- Last Update Date: 06/24/2026
Medicare PECOS Information:
- PECOS PAC ID: 9638429392
- Enrollment ID: I20180830002352
Medical Identifiers
Medical identifiers for Ms Tiffany Lynn Bongiorno such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1912182148 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | 112445021 (Tennessee) | Secondary |
| 1041C0700X | Social Worker - Clinical | 149018601 (Illinois) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Endeavor Health Medical Group | 2163334699 | 3372 |
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. Ms Tiffany Lynn Bongiorno allows following entities to bill medicare on her behalf.
| Entity Name | Edward Health Ventures |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1962452912 PECOS PAC ID: 4284531484 Enrollment ID: O20031216000616 |
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| Entity Name | Endeavor Health Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118 |
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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. Ms Tiffany Lynn Bongiorno 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 |
Ms Tiffany Lynn Bongiorno, LCSW 2650 Ridge Ave Ste 1223, Evanston, IL 60201-1700 Ph: () - | Ms Tiffany Lynn Bongiorno, LCSW 303 W Lake St Ste 304, Addison, IL 60101-2586 Ph: (331) 221-1650 |
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