Kylie Ann Godfrey, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Eau Claire, Wisconsin. Her current practice location is
1221 Whipple St, Eau Claire, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(715) 838-5222.
Kylie Ann Godfrey is licensed to practice in Wisconsin (license number 132331) 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 1629438197.
Healthcare Provider's Profile
Full Name | Kylie Ann Godfrey |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 1221 Whipple St, Eau Claire, Wisconsin |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1629438197
- Provider Enumeration Date: 02/26/2016
- Last Update Date: 01/15/2025
Medicare PECOS Information:
- PECOS PAC ID: 4880124940
- Enrollment ID: I20250205001843
Medical Identifiers
Medical identifiers for Kylie Ann Godfrey such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629438197 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 132331 (Wisconsin) | 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. Kylie Ann Godfrey allows following entities to bill medicare on her behalf.
Entity Name | Mayo Clinic Health System-northwest Wisconsin Region Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1235588831 PECOS PAC ID: 4385553627 Enrollment ID: O20161109002075 |
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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. Kylie Ann Godfrey 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 |
Kylie Ann Godfrey, LCSW Po Box 860912, Minneapolis, MN 55486-0912 Ph: (715) 838-5222 | Kylie Ann Godfrey, LCSW 1221 Whipple St, Eau Claire, WI 54703-5200 Ph: (715) 838-5222 |
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