Katrina Marie Dolle, LCSW, CADC is a medicare enrolled "Social Worker - Clinical" provider in Woodridge, Illinois. Her current practice location is
2303 Sunnydale Dr, Woodridge, Illinois. You can reach out to her office (for appointments etc.) via phone at
(630) 395-9407.
Katrina Marie Dolle is licensed to practice in Illinois (license number 149.014192) 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 1497179667.
Healthcare Provider's Profile
| Full Name | Katrina Marie Dolle |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 2303 Sunnydale Dr, Woodridge, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1497179667
- Provider Enumeration Date: 02/09/2014
- Last Update Date: 08/12/2021
Medicare PECOS Information:
- PECOS PAC ID: 2961719257
- Enrollment ID: I20150918001835
Medical Identifiers
Medical identifiers for Katrina Marie Dolle such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1497179667 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 20895 (Illinois) | Secondary |
| 1041C0700X | Social Worker - Clinical | 149.014192 (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. Katrina Marie Dolle allows following entities to bill medicare on her behalf.
| Entity Name | Family Counseling Service Of Aurora |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063591303
PECOS PAC ID: 5294811535
Enrollment ID: O20080326000723 |
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| Entity Name | Blue Moon Senior Counseling Of Illinois Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1841562931
PECOS PAC ID: 7012172893
Enrollment ID: O20120628000431 |
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| Entity Name | Grow Healthcare Group Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245845932
PECOS PAC ID: 3476961368
Enrollment ID: O20220414000139 |
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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. Katrina Marie Dolle 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 |
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Katrina Marie Dolle, LCSW, CADC
2303 Sunnydale Dr,
Woodridge, IL 60517-1844
Ph: (630) 395-9407 | Katrina Marie Dolle, LCSW, CADC
2303 Sunnydale Dr,
Woodridge, IL 60517-1844
Ph: (630) 395-9407 |
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