| Jennifer Payne, | |
|
325 Il Route 2, Dixon, IL 61021-9118 | |
| (815) 284-6611 | |
| Not Available |
| Full Name | Jennifer Payne |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 325 Il Route 2, Dixon, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578130605 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149027490 (Illinois) | Primary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| Entity Name | Sinnissippi Centers Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407143837 PECOS PAC ID: 3476459876 Enrollment ID: O20031208000895 |
| Entity Name | Vitae Health Medical Illinois, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174013452 PECOS PAC ID: 2365798410 Enrollment ID: O20180703002838 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Payne, 325 Il Route 2, Dixon, IL 61021-9118 Ph: () - | Jennifer Payne, 325 Il Route 2, Dixon, IL 61021-9118 Ph: (815) 284-6611 |
Ms. Natalie A Andrews, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 325 Il Route 2, Dixon, IL 61021 Phone: 815-284-6611 | |
Carlee Renee Kelly, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 403 E 1st St, Dixon, IL 61021 Phone: 815-285-5631 | |
Chelsea Smith, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 325 Illinois Rt 2, Dixon, IL 61021 Phone: 815-284-6611 | |
Kristina Rebelsky, LISW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 325 Il Route 2, Dixon, IL 61021 Phone: 815-284-6611 | |
Marissa Elaine Krager, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1008 Mary Ave, Dixon, IL 61021 Phone: 815-973-8963 | |
Dr. Donette C Considine, PH.D., MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1254 N Galena Ave, Suite C, Dixon, IL 61021 Phone: 630-721-0230 | |
Michelle-renee Emery Spinden, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 325 Illinois Rt 2, Dixon, IL 61021 Phone: 815-284-6611 |