Kim Scardina, LCPC, NCC in Peoria, IL - Medicare Counselor Provider

Kim Scardina, LCPC, NCC is a medicare enrolled "Counselor - Professional" provider in Peoria, Illinois. Her current practice location is 530 Ne Glen Oak Ave, Peoria, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 655-3958.

Kim Scardina is licensed to practice in Illinois (license number 180.008553) 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 1043656861.

Contact Information

	Kim Scardina, LCPC, NCC
	530 Ne Glen Oak Ave, Peoria, IL 61637-0002
	(309) 655-3958
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kim Scardina
Gender	Female
Speciality	Counselor - Professional
Location	530 Ne Glen Oak Ave, 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: 1043656861
Provider Enumeration Date: 05/20/2013
Last Update Date: 05/20/2013

Medicare PECOS Information:

PECOS PAC ID: 7719401314
Enrollment ID: I20250404000656

Medical Identifiers

Medical identifiers for Kim Scardina such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043656861	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	180.008553 (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. Kim Scardina allows following entities to bill medicare on her behalf.

Entity Name	Methodist Medical Center Of Illinois
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982656575 PECOS PAC ID: 1355259714 Enrollment ID: O20031126000494

Entity Name	Methodist Medical Center Of Illinois
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184670663 PECOS PAC ID: 1355259714 Enrollment ID: O20040315000196

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. Kim Scardina 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
Kim Scardina, LCPC, NCC 624 N Shelton Ln, Peoria, IL 61604-4530 Ph: (309) 264-5769	Kim Scardina, LCPC, NCC 530 Ne Glen Oak Ave, Peoria, IL 61637-0002 Ph: (309) 655-3958

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
Julie Kristine Peters, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2000 W Pioneer Pkwy Ste 14, Peoria, IL 61615 Phone: 309-550-1001
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. 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

Kim Scardina, LCPC, NCC - Medicare Counselor in Peoria, IL