Ms Kristine R Donaldson, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Farmer City, Illinois. Her current practice location is
519 N William St, Farmer City, Illinois. You can reach out to her office (for appointments etc.) via phone at
(217) 871-6993.
Ms Kristine R Donaldson is licensed to practice in Illinois (license number 149018622) 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 1790089548.
Healthcare Provider's Profile
Full Name | Ms Kristine R Donaldson |
---|
Gender | Female |
---|
Speciality | Social Worker - Clinical |
---|
Location | 519 N William St, Farmer City, Illinois |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1790089548
- Provider Enumeration Date: 01/07/2011
- Last Update Date: 10/14/2024
Medicare PECOS Information:
- PECOS PAC ID: 5294015715
- Enrollment ID: I20161129001107
Medical Identifiers
Medical identifiers for Ms Kristine R Donaldson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790089548 | NPI | - | NPPES |
149018622 | Other | IL | PROFESSIONAL LICENSE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 149018622 (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. Ms Kristine R Donaldson allows following entities to bill medicare on her behalf.
Entity Name | Vitae Health Of Illinois Llc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1174013452 PECOS PAC ID: 2365798410 Enrollment ID: O20180703002838 |
---|
Entity Name | Take Heart Therapy Llc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1760052294 PECOS PAC ID: 6002211083 Enrollment ID: O20210830002047 |
---|
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. Ms Kristine R Donaldson 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 |
Ms Kristine R Donaldson, LCSW 519 N William St, Farmer City, IL 61842-1123 Ph: (217) 871-6993 | Ms Kristine R Donaldson, LCSW 519 N William St, Farmer City, IL 61842-1123 Ph: (217) 871-6993 |
Reviews and Comments