| Stacy M Condon, LCSW | |
|
903 Mineral Point Ave, Janesville, WI 53548-2970 | |
| (608) 756-5555 | |
| (608) 756-0174 |
| Full Name | Stacy M Condon |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 9 Years |
| Location | 903 Mineral Point Ave, Janesville, Wisconsin |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639617855 | NPI | - | NPPES |
| 1639617855 | Medicaid | WI | |
| K400361223-000084908 | Other | WI | WI MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 9109-123 (Wisconsin) | Primary |
| 104100000X | Social Worker | 130509-121 (Wisconsin) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Health System Corporation | 7416860440 | 564 |
| 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 |
| 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 |
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: Accepting Medicare Assignments 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: Accepting Medicare Assignments 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 |