Mrs Chanel Kolthoff, LICSW, LCSW in Savoy, IL - Medicare Social Worker Provider

Mrs Chanel Kolthoff, LICSW, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Savoy, Illinois. Her current practice location is 1008 Declaration Dr, Savoy, Illinois. You can reach out to her office (for appointments etc.) via phone at (580) 695-0526.

Mrs Chanel Kolthoff is licensed to practice in Washington (license number 61169653) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1508425547.

Contact Information

	Mrs Chanel Kolthoff, LICSW, LCSW
	1008 Declaration Dr, Savoy, IL 61874-7104
	(580) 695-0526
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Chanel Kolthoff
Gender	Female
Speciality	Social Worker - Clinical
Location	1008 Declaration Dr, Savoy, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508425547
Provider Enumeration Date: 06/12/2019
Last Update Date: 12/31/2024

Medicare PECOS Information:

PECOS PAC ID: 1759811029
Enrollment ID: I20250217000861

Medical Identifiers

Medical identifiers for Mrs Chanel Kolthoff such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508425547	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	149027046 (Illinois)	Secondary
1041C0700X	Social Worker - Clinical	0904014795 (Virginia)	Secondary
1041C0700X	Social Worker - Clinical	114763 (Texas)	Secondary
1041C0700X	Social Worker - Clinical	61169653 (Washington)	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. Mrs Chanel Kolthoff allows following entities to bill medicare on her behalf.

Entity Name	Midwest Digestive Health & Nutrition, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477241750 PECOS PAC ID: 2769830389 Enrollment ID: O20231121000521

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. Mrs Chanel Kolthoff 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
Mrs Chanel Kolthoff, LICSW, LCSW 1008 Declaration Dr, Savoy, IL 61874-7104 Ph: () -	Mrs Chanel Kolthoff, LICSW, LCSW 1008 Declaration Dr, Savoy, IL 61874-7104 Ph: (580) 695-0526

Reviews and Comments

Social Worker in Savoy, IL

Keona S Johnson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1806 Woodfield Dr Ste 105, Savoy, IL 61874 Phone: 217-766-0258
Ms. Susan Gail Bednar, MSW, LCSW, CDVC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6 Dunlap Ct, Savoy, IL 61874 Phone: 217-352-8502
Leah Michelle A' Hearn, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6 Dunlap Ct, Savoy, IL 61874 Phone: 217-778-5220
Ms. Kelly M Bradham, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7 Dunlap Ct, Savoy, IL 61874 Phone: 217-378-4435
Kristin Pasley, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 7 Dunlap Ct, Savoy, IL 61874 Phone: 217-352-0200 Fax: 217-607-1139
Sarah Fullilove, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1401 Regency Dr E Ste A, Savoy, IL 61874 Phone: 217-722-2909
Neelma Zafar, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1405 Shantel Dr, Savoy, IL 61874 Phone: 740-418-3864

Mrs Chanel Kolthoff, LICSW, LCSW - Medicare Clinical Social Worker in Savoy, IL