Carly Kloubec, in Rockford, IL - Medicare Counselor Provider

Carly Kloubec, is a medicare enrolled "Counselor - Professional" provider in Rockford, Illinois. Her current practice location is 1601 N University Dr, Rockford, Illinois. You can reach out to her office (for appointments etc.) via phone at (805) 391-1000.

Carly Kloubec is licensed to practice in Illinois (license number 178009262) 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 1730554064.

Contact Information

	Carly Kloubec,
	1601 N University Dr, Rockford, IL 61107-5317
	(805) 391-1000
	(815) 391-5040

Map and Direction

Healthcare Provider's Profile

Full Name	Carly Kloubec
Gender	Female
Speciality	Counselor - Professional
Location	1601 N University Dr, Rockford, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1730554064
Provider Enumeration Date: 12/11/2015
Last Update Date: 12/11/2015

Medicare PECOS Information:

PECOS PAC ID: 5698125136
Enrollment ID: I20231227000369

Medical Identifiers

Medical identifiers for Carly Kloubec such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730554064	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	178009262 (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. Carly Kloubec allows following entities to bill medicare on her behalf.

Entity Name	County Of Dupage Department Of Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134110786 PECOS PAC ID: 4981695103 Enrollment ID: O20040518001117

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. Carly Kloubec 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
Carly Kloubec, 1021 N Mulford Rd, Rockford, IL 61107-3877 Ph: (815) 391-5600	Carly Kloubec, 1601 N University Dr, Rockford, IL 61107-5317 Ph: (805) 391-1000

Reviews and Comments

Counselor in Rockford, IL

Stephanie Yates, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6072 Brynwood Dr Ste 107, Rockford, IL 61114 Phone: 815-846-0684
Logan John Chapman-neal, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1601 University Dr, Rockford, IL 61107 Phone: 815-391-1000
Charlene J Donahoe, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4869 Linden Rd Apt 221, Rockford, IL 61109 Phone: 815-980-8621
Holly Brun, Counselor Medicare: Medicare Enrolled Practice Location: 8616 Northern Ave, Rockford, IL 61107 Phone: 815-332-8003
Jeremy Adon Mcintosh, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1601 University Dr, Rockford, IL 61107 Phone: 815-391-1000
Angie Tompkins, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6066 Strathmoor Dr Ste 2, Rockford, IL 61107 Phone: 815-324-3979
Ms. Eileen H Mccarten, MS, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3600 E State St Ste 316, Rockford, IL 61108 Phone: 815-877-7228 Fax: 815-877-8172

Carly Kloubec, - Medicare Counselor in Rockford, IL