Melissa A Mitsdarffer, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Du Quoin, Illinois. She graduated from medical school in 2008 and has 17 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Integrated Health Of Southern Illinois Ltd and 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
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and 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 | Clinical Social Worker |
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| Experience | 17 Years |
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| Location | 1016 S Madison St, Du Quoin, Illinois |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Melissa A Mitsdarffer graduated from medical school in 2008
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 |
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| 1891094496 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1041C0700X | Social Worker - Clinical | 149014583 (Illinois) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Integrated Health Of Southern Illinois Ltd | 2365401122 | 18 |
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 |
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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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