Ms Kathleen Elizabeth Bautista, LCSW - Medicare Clinical Social Worker in Lincoln, IL

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Ms Kathleen Elizabeth Bautista, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Lincoln, Illinois. Her current practice location is 100 Stahlhut Dr, Lincoln, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 735-9555.

Ms Kathleen Elizabeth Bautista is licensed to practice in Illinois (license number 14916428) 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 1063836104.

Contact Information

Ms Kathleen Elizabeth Bautista, LCSW
100 Stahlhut Dr,
Lincoln, IL 62656-5059
(217) 735-9555
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMs Kathleen Elizabeth Bautista
GenderFemale
SpecialitySocial Worker - Clinical
Location100 Stahlhut Dr, Lincoln, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1063836104
  • Provider Enumeration Date: 02/10/2014
  • Last Update Date: 07/27/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2365791332
  • Enrollment ID: I20180823003625

Medical Identifiers

Medical identifiers for Ms Kathleen Elizabeth Bautista such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063836104NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 14916428 (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 Kathleen Elizabeth Bautista allows following entities to bill medicare on her behalf.
Entity NameSpringfield Clinic Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780638478
PECOS PAC ID: 0547166076
Enrollment ID: O20040331000826
Entity NameBoard Of Trustees Of Southern Illinois University
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396097960
PECOS PAC ID: 4486667888
Enrollment ID: O20130424001019

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 Kathleen Elizabeth Bautista 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 AddressPractice Location Address
Ms Kathleen Elizabeth Bautista, LCSW
Po Box 19248,
Springfield, IL 62794-9248

Ph: (217) 528-7541		Ms Kathleen Elizabeth Bautista, LCSW
100 Stahlhut Dr,
Lincoln, IL 62656-5059

Ph: (217) 735-9555

Reviews and Comments


Social Worker in Lincoln, IL

Jamie L Steward, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 515 N College St, Lincoln, IL 62656
Phone: 217-732-9681    Fax: 217-735-6527
Judith Ann Stogdell, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 523 N Elm St, Lincoln, IL 62656
Phone: 217-737-9959    Fax: 847-774-4701
Brian D. Gazdziak, LCSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 100 Stahlhut Dr, Lincoln, IL 62656
Phone: 217-735-9555    
Trudi Marie Turnbull, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 2100 5th St, Lincoln, IL 62656
Phone: 217-732-3771    Fax: 217-735-1738

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.