Kylie Ann Godfrey, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Eau Claire, Wisconsin. She graduated from healthcare school in 2020 and has 6 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Mayo Clinic Health System-northwest Wisconsin Region Inc and 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
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 1629438197.
Healthcare Provider's Profile
| Full Name | Kylie Ann Godfrey |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 6 Years |
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| Location | 1221 Whipple St, Eau Claire, Wisconsin |
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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. |
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Medical Education and Training:
- Kylie Ann Godfrey graduated from medical school in 2020
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 |
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| 1629438197 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 132331 (Wisconsin) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Mayo Clinic Health System-northwest Wisconsin Region Inc | 4385553627 | 798 |
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 |
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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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