Mrs Kellie E Branch-dircks, LCSW, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Hopewell, Illinois. Her current practice location is
167 Hopewell Dr, Hopewell, Illinois. You can reach out to her office (for appointments etc.) via phone at
(309) 696-7184.
Mrs Kellie E Branch-dircks is licensed to practice in Illinois (license number 149.011321) 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 1255528204.
Healthcare Provider's Profile
Full Name | Mrs Kellie E Branch-dircks |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 167 Hopewell Dr, Hopewell, 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: 1255528204
- Provider Enumeration Date: 10/03/2007
- Last Update Date: 09/16/2024
Medicare PECOS Information:
- PECOS PAC ID: 5991874257
- Enrollment ID: I20080513000606
Medical Identifiers
Medical identifiers for Mrs Kellie E Branch-dircks such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1255528204 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 149.011321 (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. Mrs Kellie E Branch-dircks allows following entities to bill medicare on her behalf.
Entity Name | Deer Oaks Mid West Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1154978476 PECOS PAC ID: 2264762681 Enrollment ID: O20190927002974 |
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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. Mrs Kellie E Branch-dircks 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 |
Mrs Kellie E Branch-dircks, LCSW, LICSW 167 Hopewell Dr, Hopewell, IL 61565-9440 Ph: (309) 696-7184 | Mrs Kellie E Branch-dircks, LCSW, LICSW 167 Hopewell Dr, Hopewell, IL 61565-9440 Ph: (309) 696-7184 |
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