Mr Kenneth J Stall, LCSW in Libertyville, IL - Medicare Social Worker Provider

Mr Kenneth J Stall, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Libertyville, Illinois. His current practice location is 1117 S Milwaukee Ave, Libertyville, Illinois. You can reach out to his office (for appointments etc.) via phone at (847) 367-6900.

Mr Kenneth J Stall is licensed to practice in Illinois (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1245344837.

Contact Information

	Mr Kenneth J Stall, LCSW
	1117 S Milwaukee Ave, Libertyville, IL 60048-3798
	(847) 367-6900
	(847) 816-6447

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Kenneth J Stall
Gender	Male
Speciality	Social Worker - Clinical
Location	1117 S Milwaukee Ave, Libertyville, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245344837
Provider Enumeration Date: 08/19/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 3678574795
Enrollment ID: I20070116000384

Medical Identifiers

Medical identifiers for Mr Kenneth J Stall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245344837	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	(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. Mr Kenneth J Stall allows following entities to bill medicare on his behalf.

Entity Name	Michael L Klestinski & Associates, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477638948 PECOS PAC ID: 2466452594 Enrollment ID: O20070112000461

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. Mr Kenneth J Stall 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
Mr Kenneth J Stall, LCSW 708 Foster Ave, Lake Bluff, IL 60044-1520 Ph: (847) 367-6900	Mr Kenneth J Stall, LCSW 1117 S Milwaukee Ave, Libertyville, IL 60048-3798 Ph: (847) 367-6900

Reviews and Comments

Social Worker in Libertyville, IL

Madeline Knoll, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1580 S Milwaukee Ave Ste 240, Libertyville, IL 60048 Phone: 847-573-0662
Erica Lavin, THERAPIST Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 31480 Highway 45, Libertyville, IL 60046 Phone: 847-680-2715 Fax: 847-680-3832
Karen G Meyer, L.C.S.W Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 31480 N Us Highway 45, Libertyville, IL 60048 Phone: 847-680-2715 Fax: 847-680-3832
Amy Byrne, LCSW, CADC Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 31480 Highway 45, Libertyville, IL 60048 Phone: 847-680-2715 Fax: 847-680-3832
Lisa Garcia, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1860 W Winchester Rd Ste 205, Libertyville, IL 60048 Phone: 223-424-4194 Fax: 224-424-4102
Mrs. Danielle L Gaffke, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 150 E Cook Ave, Suite 105, Libertyville, IL 60048 Phone: 919-285-8417
Megan Crawford, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1512 Artaius Pkwy Ste 200, Libertyville, IL 60048 Phone: 847-461-1005

Mr Kenneth J Stall, LCSW - Medicare Clinical Social Worker in Libertyville, IL