Kimberly Jean Reynolds, LCSW, CSAC in West Bend, WI - Medicare Clinical Social Worker Provider

Kimberly Jean Reynolds, LCSW, CSAC is a medicare enrolled "Social Worker - Clinical" provider in West Bend, Wisconsin. She graduated from medical school in 2010 and has 16 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Bellin Memorial Hospital Inc, Ladd Memorial Hospital and her current practice location is 1316 Sunnydale Cir, West Bend, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (414) 322-6263.

Kimberly Jean Reynolds is licensed to practice in Georgia (license number CSW007178) 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 1598007775.

Contact Information

	Kimberly Jean Reynolds, LCSW, CSAC
	1316 Sunnydale Cir, West Bend, WI 53090-1980
	(414) 322-6263
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kimberly Jean Reynolds
Gender	Female
Speciality	Clinical Social Worker
Experience	16 Years
Location	1316 Sunnydale Cir, West Bend, Wisconsin
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:

Kimberly Jean Reynolds graduated from medical school in 2010

NPI Data:

NPI Number: 1598007775
Provider Enumeration Date: 03/26/2013
Last Update Date: 06/15/2026

Medicare PECOS Information:

PECOS PAC ID: 8729363437
Enrollment ID: I20170321000373

Medical Identifiers

Medical identifiers for Kimberly Jean Reynolds such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598007775	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	CSW007178 (Georgia)	Primary
1041C0700X	Social Worker - Clinical	8378 (Wisconsin)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Bellin Memorial Hospital Inc	8820900749	679
Ladd Memorial Hospital	9931092848	69

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. Kimberly Jean Reynolds allows following entities to bill medicare on her behalf.

Entity Name	Ascension Medical Group-southeast Wisconsin Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609881077 PECOS PAC ID: 8628980943 Enrollment ID: O20031104000421

Entity Name	Ladd Memorial Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467560227 PECOS PAC ID: 9931092848 Enrollment ID: O20040204000998

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20221227001453

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. Kimberly Jean Reynolds 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
Kimberly Jean Reynolds, LCSW, CSAC 1316 Sunnydale Cir, West Bend, WI 53090-1980 Ph: (706) 553-1198	Kimberly Jean Reynolds, LCSW, CSAC 1316 Sunnydale Cir, West Bend, WI 53090-1980 Ph: (414) 322-6263

Reviews and Comments

Social Worker in West Bend, WI

Tiffany Dubey, LCSW, SAC-IT Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 111 E Washington St, West Bend, WI 53095 Phone: 262-338-2717
Mr. Mical Gustave Schaffer, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 400 W River Dr, West Bend, WI 53090 Phone: 262-338-2717
Abby Louise Janssen, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 111 E Washington St, West Bend, WI 53095 Phone: 262-338-2717 Fax: 262-338-9767
Diana Azimov, APSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1622 Chestnut St, West Bend, WI 53095 Phone: 262-306-9800
Ryanne Beth Wendt, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 111 E Washington St, West Bend, WI 53095 Phone: 262-338-2717
Mrs. Amy R. Schumann, LSCW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1622 Chestnut St, West Bend, WI 53095 Phone: 262-338-9498
Kelly Marie Bell, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 333 E Washington St Ste 2100, West Bend, WI 53095 Phone: 262-335-4600 Fax: 262-335-6827

Kimberly Jean Reynolds, LCSW, CSAC - Medicare Clinical Social Worker in West Bend, WI