Kevin Siscoe, LCPC in Peoria, IL - Medicare Counselor Provider

Kevin Siscoe, LCPC is a medicare enrolled "Counselor - Professional" provider in Peoria, Illinois. His current practice location is 6615 N Big Hollow Rd, Peoria, Illinois. You can reach out to his office (for appointments etc.) via phone at (309) 692-6622.

Kevin Siscoe is licensed to practice in Illinois (license number 180008974) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1043632524.

Contact Information

	Kevin Siscoe, LCPC
	6615 N Big Hollow Rd, Peoria, IL 61615-2450
	(309) 692-6622
	(309) 692-6952

Map and Direction

Healthcare Provider's Profile

Full Name	Kevin Siscoe
Gender	Male
Speciality	Counselor - Professional
Location	6615 N Big Hollow Rd, 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: 1043632524
Provider Enumeration Date: 01/17/2014
Last Update Date: 09/26/2023

Medicare PECOS Information:

PECOS PAC ID: 6204287279
Enrollment ID: I20240104001251

Medical Identifiers

Medical identifiers for Kevin Siscoe such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043632524	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	180008974 (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. Kevin Siscoe allows following entities to bill medicare on his behalf.

Entity Name	The Antioch Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801993142 PECOS PAC ID: 8224920764 Enrollment ID: O20040329000526

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. Kevin Siscoe 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
Kevin Siscoe, LCPC 6615 N Big Hollow Rd, Peoria, IL 61615-2450 Ph: (309) 692-6622	Kevin Siscoe, LCPC 6615 N Big Hollow Rd, Peoria, IL 61615-2450 Ph: (309) 692-6622

Reviews and Comments

Counselor in Peoria, IL

Ms. Debra Fay Disney, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7617 N Villa Wood Ln, Peoria, IL 61614 Phone: 309-693-8200
Mrs. Linda L Zears, MS LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3716 W Brighton Ave, Peoria, IL 61615 Phone: 309-692-7755 Fax: 309-692-2262
Mrs. Tamara Marie Lott, LCPC, CRC Counselor Medicare: Medicare Enrolled Practice Location: 515 Ne Glen Oak Ave Ste 101, Osf Saint Francis Medical Center, Peoria, IL 61603 Phone: 309-655-7795 Fax: 309-655-4609
Dr. Michael S Shear, PSY.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 456 Fulton St, Suite 101, Peoria, IL 61602 Phone: 309-673-9385 Fax: 309-673-9446
Mrs. Sandra Susan Cross, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 2522 W Stronehenge Ct, Peoria, IL 61615 Phone: 309-264-9517
Mrs. Donna Jaree Brooks, MA LCPC Counselor Medicare: Medicare Enrolled Practice Location: 3716 W Brighton Ave, Peoria, IL 61615 Phone: 309-692-7755 Fax: 309-692-2262
Amy M. Cundiff, MA, NCC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4806 N Sheridan Rd, Peoria, IL 61614 Phone: 309-682-6258 Fax: 309-682-6472

Kevin Siscoe, LCPC - Medicare Counselor in Peoria, IL