Stacy M Condon, LCSW in Janesville, WI - Medicare Social Worker Provider

Stacy M Condon, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Janesville, Wisconsin. Her current practice location is 903 Mineral Point Ave, Janesville, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (608) 756-5555.

Stacy M Condon is licensed to practice in Wisconsin (license number 9109-123) 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 1639617855.

Contact Information

	Stacy M Condon, LCSW
	903 Mineral Point Ave, Janesville, WI 53548-2970
	(608) 756-5555
	(608) 756-0174

Map and Direction

Healthcare Provider's Profile

Full Name	Stacy M Condon
Gender	Female
Speciality	Social Worker - Clinical
Location	903 Mineral Point Ave, Janesville, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639617855
Provider Enumeration Date: 02/08/2017
Last Update Date: 03/27/2019

Medicare PECOS Information:

PECOS PAC ID: 6406139617
Enrollment ID: I20170214001921

Medical Identifiers

Medical identifiers for Stacy M Condon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639617855	NPI	-	NPPES
1639617855	Medicaid	WI
K400361223-000084908	Other	WI	WI MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	9109-123 (Wisconsin)	Primary
104100000X	Social Worker	130509-121 (Wisconsin)	Secondary

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. Stacy M Condon allows following entities to bill medicare on her behalf.

Entity Name	Mercy Health System Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598718603 PECOS PAC ID: 7416860440 Enrollment ID: O20031113000164

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. Stacy M Condon 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
Stacy M Condon, LCSW 903 Mineral Point Ave, Janesville, WI 53548-2970 Ph: (608) 756-5555	Stacy M Condon, LCSW 903 Mineral Point Ave, Janesville, WI 53548-2970 Ph: (608) 756-5555

Reviews and Comments

Social Worker in Janesville, WI

Nathan Putnam, MSW, CAPSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 612 N Randall Ave, Janesville, WI 53545 Phone: 608-752-7660 Fax: 608-752-9788
Jessica L Benash, LCSW, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 903 Mineral Point Ave, Janesville, WI 53548 Phone: 608-756-5555 Fax: 608-756-0174
Kate Gemignani, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4700 Dresser Dr Ste 100, Janesville, WI 53546 Phone: 608-752-7255
Mr. Thomas Hill Foley, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1519 Primrose Ln, Janesville, WI 53545 Phone: 608-752-7255 Fax: 608-752-6942
Mr. Ronald Joseph Krueger, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3506 N Us Highway 51, Janesville, WI 53545 Phone: 608-756-2043 Fax: 608-757-5231
Phyllicia M Nehls, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 903 Mineral Point Ave, Janesville, WI 53548 Phone: 608-756-5555 Fax: 608-756-0174
Elizabeth A Sarin, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 113 S Franklin St, Janesville, WI 53548 Phone: 608-756-5555

Stacy M Condon, LCSW - Medicare Clinical Social Worker in Janesville, WI