Peggy Jo Knaack, LCSW is a medicare enrolled "Social Worker - Clinical" provider in East Moline, Illinois. She graduated from medical school in 2021 and has 5 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Southpark Psychology Ltd and her current practice location is
705 Oaklawn Ave, East Moline, Illinois. You can reach out to her office (for appointments etc.) via phone at
(309) 737-5676.
Peggy Jo Knaack is licensed to practice in Illinois (license number 149.026045) 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 1912775537.
Healthcare Provider's Profile
| Full Name | Peggy Jo Knaack |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 5 Years |
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| Location | 705 Oaklawn Ave, East Moline, Illinois |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Peggy Jo Knaack graduated from medical school in 2021
NPI Data:
- NPI Number: 1912775537
- Provider Enumeration Date: 12/13/2023
- Last Update Date: 12/13/2023
Medicare PECOS Information:
- PECOS PAC ID: 2264878206
- Enrollment ID: I20240312003250
Medical Identifiers
Medical identifiers for Peggy Jo Knaack such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1912775537 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1041C0700X | Social Worker - Clinical | 149.026045 (Illinois) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Southpark Psychology Ltd | 8527203090 | 22 |
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. Peggy Jo Knaack allows following entities to bill medicare on her behalf.
| Entity Name | Southpark Psychology Ltd |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1558470419
PECOS PAC ID: 8527203090
Enrollment ID: O20130404000285 |
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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. Peggy Jo Knaack 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 |
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Peggy Jo Knaack, LCSW
705 Oaklawn Ave,
East Moline, IL 61244-4013
Ph: (309) 737-5676 | Peggy Jo Knaack, LCSW
705 Oaklawn Ave,
East Moline, IL 61244-4013
Ph: (309) 737-5676 |
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