Mrs Kimberly Ann Keenan, LCSW in Peoria, IL - Medicare Social Worker Provider

Mrs Kimberly Ann Keenan, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Peoria, Illinois. Her current practice location is 914 W Glen Avenue, Peoria, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 693-2749.

Mrs Kimberly Ann Keenan is licensed to practice in Illinois (license number 149007391) 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 1093816522.

Contact Information

	Mrs Kimberly Ann Keenan, LCSW
	914 W Glen Avenue, Peoria, IL 61614
	(309) 693-2749
	(309) 693-3894

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Kimberly Ann Keenan
Gender	Female
Speciality	Social Worker - Clinical
Location	914 W Glen Avenue, Peoria, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093816522
Provider Enumeration Date: 09/26/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 9830086883
Enrollment ID: I20040303000678

Medical Identifiers

Medical identifiers for Mrs Kimberly Ann Keenan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093816522	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	149007391 (Illinois)	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 Kimberly Ann Keenan allows following entities to bill medicare on her behalf.

Entity Name	Osf Multi-specialty Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279

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 Kimberly Ann Keenan 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 Kimberly Ann Keenan, LCSW 2810 W Greenbriar Drive, Peoria, IL 61614 Ph: (309) 691-0525	Mrs Kimberly Ann Keenan, LCSW 914 W Glen Avenue, Peoria, IL 61614 Ph: (309) 693-2749

Reviews and Comments

Social Worker in Peoria, IL

Ginger Renee Hughes Garner, LCSW, CADC Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 7717 N Orange Prairie Rd, Peoria, IL 61615 Phone: 309-267-2289
Jaimie M Peterson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2265 W Altorfer Dr, Peoria, IL 61615 Phone: 309-683-7700 Fax: 309-683-7752
Shannon Dolan, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7717 N Orange Prairie Rd, Peoria, IL 61615 Phone: 309-589-6800
Ms. Shannon Amber Wilson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3535 N California Ave, Suite F, Peoria, IL 61603 Phone: 309-686-2153 Fax: 888-371-6976
Eddie K Wong, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 600 Fayette St, Peoria, IL 61603 Phone: 309-671-8005 Fax: 309-671-8021
Catherine J Kilbourn, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 900 Main St, Suite 580, Peoria, IL 61602 Phone: 309-637-4266 Fax: 309-637-9836
Mrs. Sylvia Ana Murphy, LCSW, MA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2000 W Pioneer Pkwy, Suite 3, Peoria, IL 61615 Phone: 309-402-0666 Fax: 309-402-0563

Mrs Kimberly Ann Keenan, LCSW - Medicare Clinical Social Worker in Peoria, IL