Mr Kevin Shepherd, LCSW in Urbana, IL - Medicare Clinical Social Worker Provider

Mr Kevin Shepherd, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Urbana, Illinois. He went to University Of Illinois College Of Med (chi/peor/rock/chm-urb) and graduated in 2012 and has 13 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Keri Powell Therapy Inc and his current practice location is 2012 E Amber Ln, Apartment 206, Urbana, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 474-2928.

Mr Kevin Shepherd is licensed to practice in Illinois (license number 149.017708) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1962872739.

Contact Information

	Mr Kevin Shepherd, LCSW
	2012 E Amber Ln, Apartment 206, Urbana, IL 61802-6971
	(217) 474-2928
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Kevin Shepherd
Gender	Male
Speciality	Clinical Social Worker
Experience	13 Years
Location	2012 E Amber Ln, Urbana, Illinois
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Kevin Shepherd attended and graduated from University Of Illinois College Of Med (chi/peor/rock/chm-urb) in 2012

NPI Data:

NPI Number: 1962872739
Provider Enumeration Date: 10/05/2015
Last Update Date: 10/05/2015

Medicare PECOS Information:

PECOS PAC ID: 7315236874
Enrollment ID: I20160523002134

Medical Identifiers

Medical identifiers for Mr Kevin Shepherd such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962872739	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	149.017708 (Illinois)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Keri Powell Therapy Inc	9638335532	27

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 Kevin Shepherd allows following entities to bill medicare on his behalf.

Entity Name	Kevin Elliott Counseling Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255357422 PECOS PAC ID: 0143226860 Enrollment ID: O20061019000433

Entity Name	Keri Powell Therapy Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174751663 PECOS PAC ID: 9638335532 Enrollment ID: O20120720000534

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 Kevin Shepherd 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 Kevin Shepherd, LCSW 2012 E Amber Ln, Apartment 206, Urbana, IL 61802-6971 Ph: (217) 474-2928	Mr Kevin Shepherd, LCSW 2012 E Amber Ln, Apartment 206, Urbana, IL 61802-6971 Ph: (217) 474-2928

Reviews and Comments

Social Worker in Urbana, IL

Ms. Nancy Marie Charpentier-probst, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 204 W University Ave, Urbana, IL 61801 Phone: 217-383-3202 Fax: 217-328-3581
Meghan M Gentry, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1740 E Colorado Ave Apt 102, Urbana, IL 61802 Phone: 217-259-2377
Jamie Noelle Donsbach, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 110 W Main St, Unit C, Urbana, IL 61801 Phone: 217-552-7774
Courtney Leigh Prather, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2001 Philo Rd, Urbana, IL 61802 Phone: 217-552-1211
Mrs. Rita Gayle Seggelke, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 402 Ira, Urbana, IL 61802 Phone: 217-737-6838
Mr. George W Cook, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 507 W Springfield Ave, Urbana, IL 61801 Phone: 217-239-0142 Fax: 217-239-0144
Felicia Huiyan Li, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1210 E Main St, Urbana, IL 61802 Phone: 217-912-5249 Fax: 217-703-8337

Mr Kevin Shepherd, LCSW - Medicare Clinical Social Worker in Urbana, IL