Teericka Kimbrough, LCSW in Gurnee, IL - Medicare Social Worker Provider

Teericka Kimbrough, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Gurnee, Illinois. Her current practice location is 1761 N Dilleys Rd Ste 210, Gurnee, Illinois. You can reach out to her office (for appointments etc.) via phone at (773) 683-7392.

Teericka Kimbrough is licensed to practice in Illinois (license number 149026839) 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 1639929870.

Contact Information

	Teericka Kimbrough, LCSW
	1761 N Dilleys Rd Ste 210, Gurnee, IL 60031-1721
	(773) 683-7392
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Teericka Kimbrough
Gender	Female
Speciality	Social Worker - Clinical
Location	1761 N Dilleys Rd Ste 210, Gurnee, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639929870
Provider Enumeration Date: 03/22/2024
Last Update Date: 03/22/2024

Medicare PECOS Information:

PECOS PAC ID: 4981114246
Enrollment ID: I20250606001619

Medical Identifiers

Medical identifiers for Teericka Kimbrough such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639929870	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	149026839 (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. Teericka Kimbrough allows following entities to bill medicare on her behalf.

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220414000139

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. Teericka Kimbrough 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
Teericka Kimbrough, LCSW 9130 83rd St Apt 133, Pleasant Prairie, WI 53158-2558 Ph: (773) 683-7392	Teericka Kimbrough, LCSW 1761 N Dilleys Rd Ste 210, Gurnee, IL 60031-1721 Ph: (773) 683-7392

Reviews and Comments

Social Worker in Gurnee, IL

Sandra Kaeding, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 135 N Greenleaf St Ste 228, Gurnee, IL 60031 Phone: 847-263-5872 Fax: 847-263-5850
Miss Leighann Moore, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4212 Old Grand Ave, Suite 102, Gurnee, IL 60031 Phone: 847-336-5621 Fax: 847-336-2594
Sherie Joy Palmer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4174 Lake Park Ave, Gurnee, IL 60031 Phone: 847-244-9850
Sonia Dubose, MSW, LCSW, CADC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1761 N Dilleys Rd, Gurnee, IL 60031 Phone: 312-608-7369
Ms. Janine G. Kasner, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 501 N Riverside Dr, Suite 208, Gurnee, IL 60031 Phone: 847-263-1269 Fax: 847-263-1310
Miss Yahaira N Torres, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 505 N Riverside Dr Ste 201, Gurnee, IL 60031 Phone: 708-603-9499
Mrs. Romaine A Van Zeyl, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 135 N Greenleaf St, Suite 228, Gurnee, IL 60031 Phone: 847-263-5872 Fax: 847-263-5550

Teericka Kimbrough, LCSW - Medicare Clinical Social Worker in Gurnee, IL