Katrina Marie Dolle, LCSW, CADC is a medicare enrolled "Social Worker - Clinical" provider in Woodridge, Illinois. She graduated from healthcare school in 2000 and has 26 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Blue Moon Senior Counseling Of Illinois Llc and her current practice location is
2303 Sunnydale Dr, Woodridge, Illinois. You can reach out to her office (for appointments etc.) via phone at
(630) 395-9407.
Katrina Marie Dolle is licensed to practice in Illinois (license number 149.014192) 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 1497179667.
Healthcare Provider's Profile
| Full Name | Katrina Marie Dolle |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 26 Years |
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| Location | 2303 Sunnydale Dr, Woodridge, 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. |
Medical Education and Training:
- Katrina Marie Dolle graduated from medical school in 2000
NPI Data:
- NPI Number: 1497179667
- Provider Enumeration Date: 02/09/2014
- Last Update Date: 08/12/2021
Medicare PECOS Information:
- PECOS PAC ID: 2961719257
- Enrollment ID: I20150918001835
Medical Identifiers
Medical identifiers for Katrina Marie Dolle such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1497179667 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 20895 (Illinois) | Secondary |
| 1041C0700X | Social Worker - Clinical | 149.014192 (Illinois) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Blue Moon Senior Counseling Of Illinois Llc | 7012172893 | 28 |
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. Katrina Marie Dolle allows following entities to bill medicare on her behalf.
| Entity Name | Family Counseling Service Of Aurora |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063591303 PECOS PAC ID: 5294811535 Enrollment ID: O20080326000723 |
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| Entity Name | Blue Moon Senior Counseling Of Illinois Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1841562931 PECOS PAC ID: 7012172893 Enrollment ID: O20120628000431 |
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| Entity Name | Grow Healthcare Group Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220414000139 |
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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. Katrina Marie Dolle 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 |
Katrina Marie Dolle, LCSW, CADC 2303 Sunnydale Dr, Woodridge, IL 60517-1844 Ph: (630) 395-9407 | Katrina Marie Dolle, LCSW, CADC 2303 Sunnydale Dr, Woodridge, IL 60517-1844 Ph: (630) 395-9407 |
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