Jennifer Payne, is a medicare enrolled "Social Worker - Clinical" provider in Dixon, Illinois. Her current practice location is
325 Il Route 2, Dixon, Illinois. You can reach out to her office (for appointments etc.) via phone at
(815) 284-6611.
Jennifer Payne is licensed to practice in Illinois (license number 149027490) 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 1578130605.
Healthcare Provider's Profile
| Full Name | Jennifer Payne |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 325 Il Route 2, Dixon, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1578130605
- Provider Enumeration Date: 06/08/2021
- Last Update Date: 02/12/2025
Medicare PECOS Information:
- PECOS PAC ID: 8527506104
- Enrollment ID: I20240814000733
Medical Identifiers
Medical identifiers for Jennifer Payne such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1578130605 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (NU) | Secondary |
| 1041C0700X | Social Worker - Clinical | 149027490 (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. Jennifer Payne allows following entities to bill medicare on her behalf.
| Entity Name | Sinnissippi Centers Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1407143837
PECOS PAC ID: 3476459876
Enrollment ID: O20031208000895 |
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| Entity Name | Vitae Health Medical Illinois, PLLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1174013452
PECOS PAC ID: 2365798410
Enrollment ID: O20180703002838 |
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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. Jennifer Payne 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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Jennifer Payne,
325 Il Route 2,
Dixon, IL 61021-9118
Ph: Not Available | Jennifer Payne,
325 Il Route 2,
Dixon, IL 61021-9118
Ph: (815) 284-6611 |
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