Jack J Knight, LCSW in Evanston, IL - Medicare Clinical Social Worker Provider

Jack J Knight, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Evanston, Illinois. He went to Loyola University Of Chicago, Stritch School Of Medicine and graduated in 2016 and has 8 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice The University Of Chicago Medical Center and his current practice location is 355 Ridge Ave, Evanston, Illinois. You can reach out to his office (for appointments etc.) via phone at (847) 316-6262.

Jack J Knight is licensed to practice in Illinois (license number 149.023816) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1790931525.

Contact Information

	Jack J Knight, LCSW
	355 Ridge Ave, Evanston, IL 60202-3328
	(847) 316-6262
	(847) 316-2214

Map and Direction

Healthcare Provider's Profile

Full Name	Jack J Knight
Gender	Male
Speciality	Clinical Social Worker
Experience	8 Years
Location	355 Ridge Ave, Evanston, Illinois
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jack J Knight attended and graduated from Loyola University Of Chicago, Stritch School Of Medicine in 2016

NPI Data:

NPI Number: 1790931525
Provider Enumeration Date: 08/12/2008
Last Update Date: 03/30/2022

Medicare PECOS Information:

PECOS PAC ID: 5597150508
Enrollment ID: I20220309001915

Medical Identifiers

Medical identifiers for Jack J Knight such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790931525	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	149.023816 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
The University Of Chicago Medical Center	Chicago, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
The University Of Chicago Medical Center	7618880766	754

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. Jack J Knight allows following entities to bill medicare on his behalf.

Entity Name	University Of Chicago
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821048786 PECOS PAC ID: 7719899426 Enrollment ID: O20031103000094

Entity Name	The University Of Chicago Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033218128 PECOS PAC ID: 7618880766 Enrollment ID: O20031106000203

Entity Name	Presence Behavioral Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477622298 PECOS PAC ID: 7517864143 Enrollment ID: O20031212000734

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. Jack J Knight 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
Jack J Knight, LCSW 4228 N Kenmore Ave Apt 307, Chicago, IL 60613-1383 Ph: (405) 657-0769	Jack J Knight, LCSW 355 Ridge Ave, Evanston, IL 60202-3328 Ph: (847) 316-6262

Reviews and Comments

Social Worker in Evanston, IL

Tabitha Ledbetter, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 355 Ridge Ave Fl 2, Evanston, IL 60202 Phone: 847-316-6262 Fax: 847-316-2214
Kathleen Ann Valadez, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 355 Ridge Ave Fl 2, Evanston, IL 60202 Phone: 847-316-3703
Kathleen A. Bogie, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2143 Lincolnwood Dr, Evanston, IL 60201 Phone: 224-392-5467
Gabrielle Celia Stern, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2530 Crawford Ave Ste 207, Evanston, IL 60201 Phone: 847-732-5305
Susan Burkhardt, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1005 Mulford St, Evanston, IL 60202 Phone: 847-328-8207
Ellen Kenemore, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 708 Church St, Suite 227, Evanston, IL 60201 Phone: 847-491-0080 Fax: 847-251-1266
Nora Josephine Walsh, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 636 Church St Ste 507, Evanston, IL 60201 Phone: 847-409-6288

Jack J Knight, LCSW - Medicare Clinical Social Worker in Evanston, IL