Lynette Kirk, LISW in Davenport, IA - Medicare Social Worker Provider

Lynette Kirk, LISW is a medicare enrolled "Social Worker - Clinical" provider in Davenport, Iowa. Her current practice location is 2195 E 53rd St, Davenport, Iowa. You can reach out to her office (for appointments etc.) via phone at (563) 324-9169.

Lynette Kirk is licensed to practice in Iowa (license number 007564) 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 1407373830.

Contact Information

	Lynette Kirk, LISW
	2195 E 53rd St, Davenport, IA 52807-2705
	(563) 324-9169
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Lynette Kirk
Gender	Female
Speciality	Social Worker - Clinical
Location	2195 E 53rd St, 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: 1407373830
Provider Enumeration Date: 08/25/2017
Last Update Date: 05/13/2024

Medicare PECOS Information:

PECOS PAC ID: 2567803372
Enrollment ID: I20240510001882

Medical Identifiers

Medical identifiers for Lynette Kirk such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407373830	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	149.018940 (Illinois)	Secondary
1041C0700X	Social Worker - Clinical	007564 (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. Lynette Kirk allows following entities to bill medicare on her behalf.

Entity Name	Bridgeview Community Mental Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073561882 PECOS PAC ID: 8325058308 Enrollment ID: O20060504000778

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. Lynette Kirk 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
Lynette Kirk, LISW 2195 E 53rd St, Davenport, IA 52807-2705 Ph: (309) 721-0653	Lynette Kirk, LISW 2195 E 53rd St, Davenport, IA 52807-2705 Ph: (563) 324-9169

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

Lynette Kirk, LISW - Medicare Clinical Social Worker in Davenport, IA