Amelia Eades Koplow, LCSW in Wilmette, IL - Medicare Social Worker Provider

Amelia Eades Koplow, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Wilmette, Illinois. Her current practice location is 3545 Lake Ave Ste 200, Wilmette, Illinois. You can reach out to her office (for appointments etc.) via phone at (847) 251-7350.

Amelia Eades Koplow is licensed to practice in Illinois (license number 149009860) 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 1316439037.

Contact Information

	Amelia Eades Koplow, LCSW
	3545 Lake Ave Ste 200, Wilmette, IL 60091-1058
	(847) 251-7350
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Amelia Eades Koplow
Gender	Female
Speciality	Social Worker - Clinical
Location	3545 Lake Ave Ste 200, Wilmette, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316439037
Provider Enumeration Date: 05/30/2018
Last Update Date: 05/30/2018

Medicare PECOS Information:

PECOS PAC ID: 4183084650
Enrollment ID: I20230714002913

Medical Identifiers

Medical identifiers for Amelia Eades Koplow such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316439037	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	149009860 (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. Amelia Eades Koplow allows following entities to bill medicare on her behalf.

Entity Name	Family Service Center Of Wilmette Glenview Northbrook Kenilworth
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750396289 PECOS PAC ID: 9739085549 Enrollment ID: O20031211000669

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. Amelia Eades Koplow 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
Amelia Eades Koplow, LCSW 430 10th St, Wilmette, IL 60091-2733 Ph: (312) 305-9882	Amelia Eades Koplow, LCSW 3545 Lake Ave Ste 200, Wilmette, IL 60091-1058 Ph: (847) 251-7350

Reviews and Comments

Social Worker in Wilmette, IL

Heather Troester, MA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2824 Orchard Ln, Wilmette, IL 60091 Phone: 847-906-3005 Fax: 847-901-3449
Michael Alan Tyllas, LCSW, PH.D. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1500 Sheridan Rd Unit 5l, Wilmette, IL 60091 Phone: 773-550-6022
Dr. Helene Rita Ellis, L.C.S.W., PH.D. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3330 Old Glenview Rd, Suite 15, Wilmette, IL 60091 Phone: 847-800-4408
Mr. Daniel Stalilonis, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3545 Lake Ave Ste 200, Wilmette, IL 60091 Phone: 847-251-7350
Ms. Jodi Petchenik, M.S.W., L.C.S.W. Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2726 Hawthorn Ln, Wilmette, IL 60091 Phone: 847-650-4444
Caryn Kelley, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 607 7th St, Wilmette, IL 60091 Phone: 847-251-0332 Fax: 847-251-0332
Darcie Marilyn Price-wallace, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3330 Old Glenview Rd, Suite 1, Wilmette, IL 60091 Phone: 773-988-5820

Amelia Eades Koplow, LCSW - Medicare Clinical Social Worker in Wilmette, IL