Miss Kimberley B Herzog, LISW-S is a medicare enrolled "Social Worker - Clinical" provider in Peoria, Illinois. Her current practice location is
5111 N Glen Park Place Rd, Peoria, Illinois. You can reach out to her office (for appointments etc.) via phone at
(309) 683-5700.
Miss Kimberley B Herzog is licensed to practice in Illinois (license number 149021356) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1134585441.
Healthcare Provider's Profile
Full Name | Miss Kimberley B Herzog |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 5111 N Glen Park Place Rd, Peoria, Illinois |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Miss Kimberley B Herzog attended and graduated from in
NPI Data:
- NPI Number: 1134585441
- Provider Enumeration Date: 01/04/2016
- Last Update Date: 08/12/2019
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Miss Kimberley B Herzog such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1134585441 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | I1501458S (Ohio) | Secondary |
104100000X | Social Worker | 149021356 (Illinois) | Secondary |
1041C0700X | Social Worker - Clinical | 149021356 (Illinois) | Primary |
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. Miss Kimberley B Herzog 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 |
Miss Kimberley B Herzog, LISW-S 5111 N Glen Park Place Rd, Peoria, IL 61614-4675 Ph: (309) 683-5700 | Miss Kimberley B Herzog, LISW-S 5111 N Glen Park Place Rd, Peoria, IL 61614-4675 Ph: (309) 683-5700 |
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