Katherine Elizabeth Siembab, is a medicare enrolled "Social Worker - Clinical" provider in Peru, Illinois. Her current practice location is
926 Grant St, Peru, Illinois. You can reach out to her office (for appointments etc.) via phone at
(815) 883-1383.
Katherine Elizabeth Siembab is licensed to practice in Illinois (license number 149024180) 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 1598485377.
Healthcare Provider's Profile
Full Name | Katherine Elizabeth Siembab |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 926 Grant St, Peru, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1598485377
- Provider Enumeration Date: 08/31/2022
- Last Update Date: 08/31/2022
Medicare PECOS Information:
- PECOS PAC ID: 9830569219
- Enrollment ID: I20221229000549
Medical Identifiers
Medical identifiers for Katherine Elizabeth Siembab such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1598485377 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 149024180 (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. Katherine Elizabeth Siembab allows following entities to bill medicare on her behalf.
Entity Name | Life Solutions Integrative Healing & Well Being Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1720462799 PECOS PAC ID: 7214307784 Enrollment ID: O20221227000464 |
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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. Katherine Elizabeth Siembab 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 |
Katherine Elizabeth Siembab, 926 Grant St, Peru, IL 61354-2656 Ph: (815) 883-1383 | Katherine Elizabeth Siembab, 926 Grant St, Peru, IL 61354-2656 Ph: (815) 883-1383 |
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