Kylie Marie Kotak, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Evanston, Illinois. She graduated from healthcare school in 2021 and has 5 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Edgewood Clinical Services P.c., Lutheran Social Services Of Illinois and her current practice location is
1007 Church St, Evanston, Illinois. You can reach out to her office (for appointments etc.) via phone at
(847) 440-5760.
Kylie Marie Kotak is licensed to practice in Illinois (license number 149.027729) 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 1497495246.
Healthcare Provider's Profile
| Full Name | Kylie Marie Kotak |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 5 Years |
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| Location | 1007 Church St, Evanston, 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:
- Kylie Marie Kotak graduated from medical school in 2021
NPI Data:
- NPI Number: 1497495246
- Provider Enumeration Date: 03/30/2022
- Last Update Date: 04/28/2026
Medicare PECOS Information:
- PECOS PAC ID: 3375077290
- Enrollment ID: I20241114000428
Medical Identifiers
Medical identifiers for Kylie Marie Kotak such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1497495246 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | 149.027729 (Illinois) | Secondary |
| 1041C0700X | Social Worker - Clinical | 149.027729 (Illinois) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Edgewood Clinical Services P.c. | 3971963901 | 282 |
| Lutheran Social Services Of Illinois | 2163403551 | 16 |
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 Marie Kotak allows following entities to bill medicare on her behalf.
| Entity Name | Lutheran Social Services Of Illinois |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063637684 PECOS PAC ID: 2163403551 Enrollment ID: O20050322001114 |
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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 Marie Kotak 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 Marie Kotak, LCSW 1007 Church St, Evanston, IL 60201-3624 Ph: (847) 440-5760 | Kylie Marie Kotak, LCSW 1007 Church St, Evanston, IL 60201-3624 Ph: (847) 440-5760 |
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