Kyle W Boerke, PSYD in Peoria, IL - Medicare Psychologist Provider

Kyle W Boerke, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Peoria, Illinois. His current practice location is 7317 N Willow Lake Ct, Peoria, Illinois. You can reach out to his office (for appointments etc.) via phone at (309) 683-7373.

Kyle W Boerke is licensed to practice in Illinois (license number 071007906) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1225340805.

Contact Information

	Kyle W Boerke, PSYD
	7317 N Willow Lake Ct, Peoria, IL 61614-8227
	(309) 683-7373
	(309) 691-4408

Map and Direction

Healthcare Provider's Profile

Full Name	Kyle W Boerke
Gender	Male
Speciality	Psychologist - Clinical
Location	7317 N Willow Lake Ct, Peoria, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1225340805
Provider Enumeration Date: 07/12/2010
Last Update Date: 07/12/2010

Medicare PECOS Information:

PECOS PAC ID: 0840488862
Enrollment ID: I20101217000099

Medical Identifiers

Medical identifiers for Kyle W Boerke such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225340805	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	071007906 (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. Kyle W Boerke allows following entities to bill medicare on his behalf.

Entity Name	Osf Multi-specialty Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279

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. Kyle W Boerke 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
Kyle W Boerke, PSYD 7317 N Willow Lake Ct, Peoria, IL 61614-8227 Ph: (309) 683-7373	Kyle W Boerke, PSYD 7317 N Willow Lake Ct, Peoria, IL 61614-8227 Ph: (309) 683-7373

Reviews and Comments

Psychologist in Peoria, IL

Brycie Weiden, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 515 Ne Glen Oak Ave Ste 101, Peoria, IL 61603 Phone: 309-655-7378
Dr. Jennifer Rebecca Shibley, PSY.D., M.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 900 Main St, Suite 780, Peoria, IL 61602 Phone: 309-672-5946 Fax: 309-672-3155
Patresa R Brager, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 515 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-6724 Fax: 309-655-4408
Dr. Jie Jiao, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 5901 N Prospect Rd Ste 202, Peoria, IL 61614 Phone: 888-428-7890 Fax: 877-428-7890
Anthony Perino, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7317 N Willow Lake Ct, Peoria, IL 61614 Phone: 309-683-7373 Fax: 309-691-4408
Dr. Tiffany Abrego, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 900 Main St Ste 720, Peoria, IL 61602 Phone: 309-495-1640
Jean L Clore, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 221 Ne Glen Oak Ave, 7 West, Peoria, IL 61636 Phone: 309-671-8222

Kyle W Boerke, PSYD - Medicare Psychologist in Peoria, IL