Michelle Renee Conderman, LSW, CADC is a medicare enrolled "Social Worker" 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) 973-1077.
Michelle Renee Conderman is licensed to practice in Illinois (license number 150107507) 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 1073368031.
Healthcare Provider's Profile
Full Name | Michelle Renee Conderman |
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Gender | Female |
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Speciality | Social Worker |
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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. |
NPI Data:
- NPI Number: 1073368031
- Provider Enumeration Date: 04/22/2024
- Last Update Date: 02/21/2025
Medicare PECOS Information:
- PECOS PAC ID: 7618405937
- Enrollment ID: I20250114000891
Medical Identifiers
Medical identifiers for Michelle Renee Conderman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073368031 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 37961 (Illinois) | Secondary |
104100000X | Social Worker | 150107507 (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. Michelle Renee Conderman 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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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. Michelle Renee Conderman 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 |
Michelle Renee Conderman, LSW, CADC 325 Il Route 2, Dixon, IL 61021-9118 Ph: (815) 973-1077 | Michelle Renee Conderman, LSW, CADC 325 Il Route 2, Dixon, IL 61021-9118 Ph: (815) 973-1077 |
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