Katherine Ann Dewall, - Medicare Clinical Social Worker in Davenport, IA

Katherine Ann Dewall, is a medicare enrolled "Social Worker - Clinical" provider in Davenport, Iowa. Her current practice location is 1441 W Central Park Ave, Davenport, Iowa. You can reach out to her office (for appointments etc.) via phone at (563) 383-1900.

Katherine Ann Dewall is licensed to practice in * (Not Available) (license number ) 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 1174033245.

Contact Information

Katherine Ann Dewall,
1441 W Central Park Ave,
Davenport, IA 52804-1707
(563) 383-1900
Not Available



Healthcare Provider's Profile

Full NameKatherine Ann Dewall
GenderFemale
SpecialitySocial Worker - Clinical
Location1441 W Central Park Ave, Davenport, Iowa
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1174033245
  • Provider Enumeration Date: 10/03/2017
  • Last Update Date: 10/03/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 2769744887
  • Enrollment ID: I20180412002398

Medical Identifiers

Medical identifiers for Katherine Ann Dewall such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174033245NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical (* (Not Available))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. Katherine Ann Dewall allows following entities to bill medicare on her behalf.
Entity NameStewart Memorial Community Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285652909
PECOS PAC ID: 4486563707
Enrollment ID: O20031107000249

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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. Katherine Ann Dewall 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 AddressPractice Location Address
Katherine Ann Dewall,
1441 W Central Park Ave,
Davenport, IA 52804-1707

Ph: () -
Katherine Ann Dewall,
1441 W Central Park Ave,
Davenport, IA 52804-1707

Ph: (563) 383-1900

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Social Worker in Davenport, IA

Barbara J Johnson, LISW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 1441 W. Central Park Ave, Vera French Community Mental Health Center, Davenport, IA 52804
Phone: 563-888-6275    Fax: 563-884-4638
Jennifer A O'hare-marker, LISW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 4455 E 56th St, Davenport, IA 52807
Phone: 563-355-2577    Fax: 563-355-4015
Ms. Joni Lynn Dittmer, LISW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 718 Bridge Ave, Davenport, IA 52803
Phone: 563-320-4395    Fax: 563-285-4014
Jenna Capesius, LMSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1441 W Central Park Ave, Davenport, IA 52804
Phone: 563-383-1900    Fax: 563-328-5690
James Randall Bolton, LISW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 1441 W Central Park Ave, Davenport, IA 52804
Phone: 563-888-6275    Fax: 563-884-4638
Candice J. Kundert, L.I.S.W.; L.C.S.W.
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 2800 Eastern Ave, Bldg G, Davenport, IA 52803
Phone: 563-370-7995    
Dr. Harriet A Phelps, PSY.D, LISW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 718 Bridge Ave, Suite 6, Davenport, IA 52803
Phone: 563-381-8088    Fax: 563-381-8077

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