Jillyn M Kaufman, LISW in Davenport, IA - Medicare Social Worker Provider

Jillyn M Kaufman, LISW is a medicare enrolled "Social Worker - Clinical" provider in Davenport, Iowa. Her current practice location is 3475 Jersey Ridge Rd Ste 2, Davenport, Iowa. You can reach out to her office (for appointments etc.) via phone at (319) 481-3534.

Jillyn M Kaufman is licensed to practice in Iowa (license number 007861) 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 1528225158.

Contact Information

	Jillyn M Kaufman, LISW
	3475 Jersey Ridge Rd Ste 2, Davenport, IA 52807-2293
	(319) 481-3534
	(563) 213-5615

Map and Direction

Healthcare Provider's Profile

Full Name	Jillyn M Kaufman
Gender	Female
Speciality	Social Worker - Clinical
Location	3475 Jersey Ridge Rd Ste 2, Davenport, Iowa
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1528225158
Provider Enumeration Date: 05/21/2008
Last Update Date: 12/10/2022

Medicare PECOS Information:

PECOS PAC ID: 9537315163
Enrollment ID: I20120814000042

Medical Identifiers

Medical identifiers for Jillyn M Kaufman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528225158	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	149.014677 (Illinois)	Secondary
1041C0700X	Social Worker - Clinical	007861 (Iowa)	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. Jillyn M Kaufman allows following entities to bill medicare on her behalf.

Entity Name	Vera French Community Mental Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245291129 PECOS PAC ID: 6103715214 Enrollment ID: O20040315000814

Entity Name	Jillyn Kaufman, Plc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760095582 PECOS PAC ID: 5698193456 Enrollment ID: O20200911000411

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. Jillyn M Kaufman 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
Jillyn M Kaufman, LISW 3475 Jersey Ridge Rd Ste 2, Davenport, IA 52807-2293 Ph: (319) 481-3534	Jillyn M Kaufman, LISW 3475 Jersey Ridge Rd Ste 2, Davenport, IA 52807-2293 Ph: (319) 481-3534

Reviews and Comments

Social Worker in Davenport, IA

Barbara J Johnson, LISW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1441 W. Central Park Ave, Vera French Community Mental Health Center, Davenport, IA 52804 Phone: 563-888-6275 Fax: 563-884-4638
Jennifer A O'hare-marker, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4455 E 56th St, Davenport, IA 52807 Phone: 563-355-2577 Fax: 563-355-4015
Ms. Joni Lynn Dittmer, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 718 Bridge Ave, Davenport, IA 52803 Phone: 563-320-4395 Fax: 563-285-4014
Jenna Capesius, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1441 W Central Park Ave, Davenport, IA 52804 Phone: 563-383-1900 Fax: 563-328-5690
James Randall Bolton, LISW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1441 W Central Park Ave, Davenport, IA 52804 Phone: 563-888-6275 Fax: 563-884-4638
Candice J. Kundert, L.I.S.W.; L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2800 Eastern Ave, Bldg G, Davenport, IA 52803 Phone: 563-370-7995
Dr. Harriet A Phelps, PSY.D, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 718 Bridge Ave, Suite 6, Davenport, IA 52803 Phone: 563-381-8088 Fax: 563-381-8077

Jillyn M Kaufman, LISW - Medicare Clinical Social Worker in Davenport, IA