Peggy Jo Knaack, LCSW is a medicare enrolled "Social Worker - Clinical" provider in East Moline, Illinois. Her current practice location is
705 Oaklawn Ave, East Moline, Illinois. You can reach out to her office (for appointments etc.) via phone at
(309) 737-5676.
Peggy Jo Knaack is licensed to practice in Illinois (license number 149.026045) 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 1912775537.
Healthcare Provider's Profile
Full Name | Peggy Jo Knaack |
---|
Gender | Female |
---|
Speciality | Social Worker - Clinical |
---|
Location | 705 Oaklawn Ave, East Moline, Illinois |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1912775537
- Provider Enumeration Date: 12/13/2023
- Last Update Date: 12/13/2023
Medicare PECOS Information:
- PECOS PAC ID: 2264878206
- Enrollment ID: I20240312003250
Medical Identifiers
Medical identifiers for Peggy Jo Knaack such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1912775537 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 149.026045 (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. Peggy Jo Knaack allows following entities to bill medicare on her behalf.
Entity Name | Southpark Psychology Ltd |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1558470419 PECOS PAC ID: 8527203090 Enrollment ID: O20130404000285 |
---|
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. Peggy Jo Knaack 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 |
Peggy Jo Knaack, LCSW 705 Oaklawn Ave, East Moline, IL 61244-4013 Ph: (309) 737-5676 | Peggy Jo Knaack, LCSW 705 Oaklawn Ave, East Moline, IL 61244-4013 Ph: (309) 737-5676 |
Reviews and Comments