KAILEEN BANASZAK GAUMER
NPI 1093402984
Counselor - Professional in Dixon, IL
About Kaileen Banaszak Gaumer NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KAILEEN BANASZAK GAUMER (NPI 1093402984) is an individual professional provider in Dixon, Illinois, licensed in Illinois (178.005831) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2007).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kaileen Banaszak Gaumer is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DIXON, IL 61021
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kaileen Gaumer's NPI number?
The NPI number for Kaileen Gaumer is 1093402984. It was assigned to this individual provider in the NPPES registry on April 20, 2023.
Where is Kaileen Gaumer located?
Kaileen Gaumer practices at 629 N Galena Ave Ste 120, Dixon, IL 61021. The listed phone number is (815) 288-1235.
What is Kaileen Gaumer's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Kaileen Gaumer enrolled in Medicare?
Yes. Kaileen Gaumer is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Kaileen Gaumer was last updated on April 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Kaileen Banaszak Gaumer · NPI 1093402984
Professional provider in Dixon, Illinois. Individual provider, active in the CMS NPPES registry since April 20, 2023.
## Identity
- **NPI:** 1093402984 (Entity type: Individual)
- **Enumerated:** April 20, 2023
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 178.005831 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 629 N GALENA AVE STE 120, Dixon, IL 61021-1664
- **Phone:** (815) 288-1235
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2007
## Record status
- **NPPES last updated:** April 20, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1093402984) · Data from the CMS NPPES public registry.