Mrs Melanie Downen, LCSW - Medicare Clinical Social Worker in Mount Vernon, IL

Mrs Melanie Downen, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Mount Vernon, Illinois. Her current practice location is 3600 S Water Tower Pl, Mount Vernon, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 244-0212.

Mrs Melanie Downen is licensed to practice in Illinois (license number 149023618) 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 1679232607.

Contact Information

Mrs Melanie Downen, LCSW
3600 S Water Tower Pl,
Mount Vernon, IL 62864-6589
(618) 244-0212
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMrs Melanie Downen
GenderFemale
SpecialitySocial Worker - Clinical
Location3600 S Water Tower Pl, Mount Vernon, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1679232607
  • Provider Enumeration Date: 12/17/2021
  • Last Update Date: 12/17/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8729509716
  • Enrollment ID: I20250306001906

Medical Identifiers

Medical identifiers for Mrs Melanie Downen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679232607NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 149023618 (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. Mrs Melanie Downen allows following entities to bill medicare on her behalf.
Entity NameResilient Roots Therapy Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689497794
PECOS PAC ID: 7810418803
Enrollment ID: O20250306001685

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. Mrs Melanie Downen 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 AddressPractice Location Address
Mrs Melanie Downen, LCSW
9789 Chittyville Rd,
Johnston City, IL 62951-2503

Ph: (618) 513-1997
Mrs Melanie Downen, LCSW
3600 S Water Tower Pl,
Mount Vernon, IL 62864-6589

Ph: (618) 244-0212

Reviews and Comments


Social Worker in Mount Vernon, IL

Mr. Curtis William Boehne, MSW, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1 Doctors Park Rd, Suite G, Mount Vernon, IL 62864
Phone: 618-246-2910    Fax: 618-246-2912
Mrs. Kristina Michelle Zettler, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 201 N 27th St, Mount Vernon, IL 62864
Phone: 618-242-5614    
Celeste Robinson, LCSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 107 Shiloh Dr, Mount Vernon, IL 62864
Phone: 618-242-6944    
Stacie Lynn Carr, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1304 Plum Ave, Mount Vernon, IL 62864
Phone: 618-335-7364    
Mrs. Darla B Wexstten, MSW, LCSW, ACSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 4230 Lincolnshire Dr, Suite E, Mount Vernon, IL 62864
Phone: 618-242-4205    Fax: 618-242-4209
Scott Murray, LCSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 310 Main St, Mount Vernon, IL 62864
Phone: 618-244-0212    Fax: 618-244-0535
Mrs. Lindsey Marie Adams Greenwalt, M.S.W. L.C.S.W.
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 3600 S Water Tower Pl, Mount Vernon, IL 62864
Phone: 618-244-0212    Fax: 618-244-0535

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.