Ms Lisa Marie Kyle-wolf, LCSW in East Peoria, IL - Medicare Clinical Social Worker Provider

Ms Lisa Marie Kyle-wolf, LCSW is a medicare enrolled "Social Worker - Clinical" provider in East Peoria, Illinois. She graduated from medical school in 1988 and has 38 years of diverse experience with area of expertise as Clinical Social Worker. Her current practice location is 1281 Spring Bay Rd, East Peoria, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 696-8369.

Ms Lisa Marie Kyle-wolf is licensed to practice in Illinois (license number 149002070) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1306819776.

Contact Information

	Ms Lisa Marie Kyle-wolf, LCSW
	1281 Spring Bay Rd, East Peoria, IL 61611-9779
	(309) 696-8369
	(312) 254-1423

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Lisa Marie Kyle-wolf
Gender	Female
Speciality	Clinical Social Worker
Experience	38 Years
Location	1281 Spring Bay Rd, East Peoria, Illinois
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ms Lisa Marie Kyle-wolf graduated from medical school in 1988

NPI Data:

NPI Number: 1306819776
Provider Enumeration Date: 02/08/2006
Last Update Date: 01/27/2026

Medicare PECOS Information:

PECOS PAC ID: 1456329341
Enrollment ID: I20040920000013

Medical Identifiers

Medical identifiers for Ms Lisa Marie Kyle-wolf such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306819776	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	149002070 (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. Ms Lisa Marie Kyle-wolf allows following entities to bill medicare on her behalf.

Entity Name	The Board Of Trustees Of The University Of Illinois
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386863819 PECOS PAC ID: 3072422716 Enrollment ID: O20031112000158

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. Ms Lisa Marie Kyle-wolf 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
Ms Lisa Marie Kyle-wolf, LCSW 1281 Spring Bay Rd, East Peoria, IL 61611-9779 Ph: (309) 696-8369	Ms Lisa Marie Kyle-wolf, LCSW 1281 Spring Bay Rd, East Peoria, IL 61611-9779 Ph: (309) 696-8369

Reviews and Comments

Social Worker in East Peoria, IL

Thomas H Keenan, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 156 Baker St, East Peoria, IL 61611 Phone: 309-229-9373
Jessica Hrdlicka, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 205 Illini Dr, East Peoria, IL 61611 Phone: 309-264-8167
Ilana Craddock, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 411 E Washington St, East Peoria, IL 61611 Phone: 309-282-6704 Fax: 309-387-2340
Sarah E Makuta, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 252 E Washington St, East Peoria, IL 61611 Phone: 309-282-6704 Fax: 309-387-2340
Ms. Nancy S. Egger, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2500 N Main St Ste 2a, East Peoria, IL 61611 Phone: 309-282-2372 Fax: 309-282-2373

Ms Lisa Marie Kyle-wolf, LCSW - Medicare Clinical Social Worker in East Peoria, IL