Melissa A Mitsdarffer, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Du Quoin, Illinois. Her current practice location is
1016 S Madison St, Suite A, Du Quoin, Illinois. You can reach out to her office (for appointments etc.) via phone at
(618) 542-4357.
Melissa A Mitsdarffer is licensed to practice in Illinois (license number 149014583) 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 1891094496.
Healthcare Provider's Profile
Full Name | Melissa A Mitsdarffer |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 1016 S Madison St, Du Quoin, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1891094496
- Provider Enumeration Date: 03/22/2011
- Last Update Date: 03/22/2011
Medicare PECOS Information:
- PECOS PAC ID: 6002084183
- Enrollment ID: I20110715000057
Medical Identifiers
Medical identifiers for Melissa A Mitsdarffer such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1891094496 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 149014583 (Illinois) | 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. Melissa A Mitsdarffer allows following entities to bill medicare on her behalf.
Entity Name | Integrated Health Of Southern Illinois Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1982738274 PECOS PAC ID: 2365401122 Enrollment ID: O20041007000123 |
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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. Melissa A Mitsdarffer 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 |
Melissa A Mitsdarffer, LCSW 1016 S Madison St, Suite A, Du Quoin, IL 62832-2442 Ph: (618) 542-4357 | Melissa A Mitsdarffer, LCSW 1016 S Madison St, Suite A, Du Quoin, IL 62832-2442 Ph: (618) 542-4357 |
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