Kurt Doyle, LCSW

Individual provider Active NPI Clinical Social Worker · Aledo, IL

NPI 1104226166 · NPPES record last updated May 17, 2021

Key facts

NPI
1104226166
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
149016902 (IL)
Practice address
1007 NW 3Rd St
Aledo, IL 61231-1317
Phone
(309) 582-9450
NPI assigned
Aug 27, 2014
Sex
Male
Sole proprietor
No

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of Mercer Hospital (8 clinicians)
Genesis Medical Center, Aledo (17 clinicians)

Practice addresses (Care Compare)

1007 NW 3Rd St
Aledo, IL 61231-1317

220 SW 5TH St
Woodhull, IL 61490-5011
Phone (309) 281-2230

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20141210000055 IL Practitioner - Clinical Social Worker 5597087148 Reassigns benefits to 3 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Medical Center, Aledo Current
since Jan 1, 2015
Accepting new patients
Genesis Health System Current
since Aug 8, 2022
Accepting new patients
Genesis Medical Center, Aledo Current
since Jan 1, 2015
Accepting new patients
Genesis Health System Current
since Aug 8, 2022
Accepting new patients

Locations

1227 E Rusholme St
Davenport, IA 52803
Phone (563) 324-8160

1007 NW 3rd St
Aledo, IL 61231
Phone (309) 582-3701

409 NW 9th Ave
Aledo, IL 61231
Phone (309) 582-2227

1007 NW 3rd St
Ste 100
Aledo, IL 61231
Phone (309) 582-3701

202 Picard St
Alpha, IL 61413
Phone (309) 629-4601

306 46th Ave
East Moline, IL 61244
Phone (309) 796-2329

Interoperability endpoints

  • Direct secure messaging: kurt.doyle@direct.genesishealth.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149016902 IL Yes

Addresses

Primary practice location

1007 NW 3Rd St
Aledo, IL 61231-1317

Mailing address

1007 NW 3Rd St
Aledo, IL 61231-1317
Phone (309) 582-9550

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address kurt.doyle@direct.genesishealth.com

Other providers in Aledo, IL

All providers in Aledo, IL · Clinical Social Worker in Illinois

Sources for this page

Verify at the official NPI Registry.