Kaleena Williams, is a medicare enrolled "Social Worker - Clinical" provider in Galesburg, Illinois. She graduated from healthcare school in 2010 and has 14 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice St Mary Medical Center and her current practice location is
834 North Seminary Street, Suite 405, Galesburg, Illinois. You can reach out to her office (for appointments etc.) via phone at
(309) 344-9444.
Kaleena Williams is licensed to practice in Illinois (license number 149015718) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1679919542.
Healthcare Provider's Profile
Full Name | Kaleena Williams |
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Gender | Female |
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Speciality | Clinical Social Worker |
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Experience | 14 Years |
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Location | 834 North Seminary Street, Galesburg, Illinois |
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Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Kaleena Williams graduated from medical school in 2010
NPI Data:
- NPI Number: 1679919542
- Provider Enumeration Date: 05/17/2013
- Last Update Date: 03/18/2024
Medicare PECOS Information:
- PECOS PAC ID: 9133366735
- Enrollment ID: I20130517000345
Medical Identifiers
Medical identifiers for Kaleena Williams such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1679919542 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 149015718 (Illinois) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
St Mary Medical Center | 8628038015 | 50 |
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. Kaleena Williams allows following entities to bill medicare on her behalf.
Entity Name | St Mary Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1962467670 PECOS PAC ID: 8628038015 Enrollment ID: O20041011000420 |
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Entity Name | Osf Healthcare System |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1679606073 PECOS PAC ID: 4284541806 Enrollment ID: O20070503000249 |
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Entity Name | Osf Healthcare System |
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Entity Type | Part B Supplier - Hospital Department(s) |
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Entity Identifiers | NPI Number: 1811016124 PECOS PAC ID: 4284541806 Enrollment ID: O20070504000101 |
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Entity Name | Osf Multi-specialty Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
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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. Kaleena Williams 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 |
Kaleena Williams, 2323 Windish Dr, Galesburg, IL 61401-9780 Ph: () - | Kaleena Williams, 834 North Seminary Street, Suite 405, Galesburg, IL 61401 Ph: (309) 344-9444 |
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