Kassandra Jediola, LCSW in Dekalb, IL - Medicare Clinical Social Worker Provider

Kassandra Jediola, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Dekalb, Illinois. She went to University Of Illinois College Of Med (chi/peor/rock/chm-urb) and graduated in 2014 and has 10 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Dekalb Behavioral Health Foundation, Inc. and her current practice location is 631 S 1st St, Dekalb, Illinois. You can reach out to her office (for appointments etc.) via phone at (815) 756-8501.

Kassandra Jediola is licensed to practice in Illinois (license number 149.017240) 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 1427322130.

Contact Information

	Kassandra Jediola, LCSW
	631 S 1st St, Dekalb, IL 60115-4117
	(815) 756-8501
	(815) 756-2944

Map and Direction

Healthcare Provider's Profile

Full Name	Kassandra Jediola
Gender	Female
Speciality	Clinical Social Worker
Experience	10 Years
Location	631 S 1st St, Dekalb, Illinois
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:

Kassandra Jediola attended and graduated from University Of Illinois College Of Med (chi/peor/rock/chm-urb) in 2014

NPI Data:

NPI Number: 1427322130
Provider Enumeration Date: 02/27/2012
Last Update Date: 01/26/2023

Medicare PECOS Information:

PECOS PAC ID: 5890011563
Enrollment ID: I20150225000461

Medical Identifiers

Medical identifiers for Kassandra Jediola such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427322130	NPI	-	NPPES
474579189001	Medicaid	IL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	149.017240 (Illinois)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Dekalb Behavioral Health Foundation, Inc.	9436451655	13

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. Kassandra Jediola allows following entities to bill medicare on her behalf.

Entity Name	Dekalb Behavioral Health Foundation, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255703450 PECOS PAC ID: 9436451655 Enrollment ID: O20160111000872

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. Kassandra Jediola 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
Kassandra Jediola, LCSW Po Box 1109, Dekalb, IL 60115-7109 Ph: (815) 756-4875	Kassandra Jediola, LCSW 631 S 1st St, Dekalb, IL 60115-4117 Ph: (815) 756-8501

Reviews and Comments

Social Worker in Dekalb, IL

Jennifer L Weber, LSW, CADC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12 Health Services Dr, Dekalb, IL 60115 Phone: 815-756-4875 Fax: 815-756-2944
Prof. Meryl Greer Domina, LCSW, PH.D. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 14 Health Services Drive, Dekalb, IL 60115 Phone: 815-758-8616 Fax: 815-758-7569
Tara Brooks Bider, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2568 Sycamore Rd, Dekalb, IL 60115 Phone: 815-469-1500 Fax: 779-216-3069
Ms. Vicki Grunnet-alden, PH.D, LCSW, MSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3301 Resource Pkwy Ste 3, Dekalb, IL 60115 Phone: 630-297-3617
Emily Bredlau, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 12 Health Services Dr, Dekalb, IL 60115 Phone: 815-766-3194
Lucy Sosa, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1325 W Lincoln Hwy, Dekalb, IL 60115 Phone: 312-366-9722
Daniel Klein, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 14 Health Services Drive, Dekalb, IL 60115 Phone: 815-758-8636 Fax: 815-758-7569

Kassandra Jediola, LCSW - Medicare Clinical Social Worker in Dekalb, IL