Mr Kevin M Polky, LCSW - Medicare Clinical Social Worker in Rockford, IL

Mr Kevin M Polky, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Rockford, Illinois. He graduated from medical school in 1995 and has 29 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Kp Counseling Ltd and his current practice location is 461 N Mulford Rd, Condo #1, Rockford, Illinois. You can reach out to his office (for appointments etc.) via phone at (815) 395-1141.

Mr Kevin M Polky is licensed to practice in Illinois (license number ) 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 1902094469.

Contact Information

Mr Kevin M Polky, LCSW
461 N Mulford Rd, Condo #1,
Rockford, IL 61107-5190
(815) 395-1141
(815) 395-1117

Map and Direction




Healthcare Provider's Profile

Full NameMr Kevin M Polky
GenderMale
SpecialityClinical Social Worker
Experience29 Years
Location461 N Mulford Rd, Rockford, Illinois
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Kevin M Polky graduated from medical school in 1995
  NPI Data:
  • NPI Number: 1902094469
  • Provider Enumeration Date: 10/10/2007
  • Last Update Date: 10/10/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 2062499791
  • Enrollment ID: I20040702000218

Medical Identifiers

Medical identifiers for Mr Kevin M Polky such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902094469NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical (Illinois)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Kp Counseling Ltd125431898312

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. Mr Kevin M Polky allows following entities to bill medicare on his behalf.
Entity NameKp Counseling Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770630766
PECOS PAC ID: 1254318983
Enrollment ID: O20040701000375

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. Mr Kevin M Polky 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 AddressPractice Location Address
Mr Kevin M Polky, LCSW
461 N Mulford Rd, Condo #1,
Rockford, IL 61107-5190

Ph: (815) 395-1141
Mr Kevin M Polky, LCSW
461 N Mulford Rd, Condo #1,
Rockford, IL 61107-5190

Ph: (815) 395-1141

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.