Michelle Renee Conderman, LSW, CADC is a medicare enrolled "Social Worker" provider in Dixon, Illinois. She graduated from healthcare school in 2023 and has 3 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Sinnissippi Centers Inc and 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
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and 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 | Clinical Social Worker |
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| Experience | 3 Years |
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| Location | 325 Il Route 2, Dixon, Illinois |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Michelle Renee Conderman graduated from medical school in 2023
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 |
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| 1073368031 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 37961 (Illinois) | Secondary |
| 104100000X | Social Worker | 150107507 (Illinois) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Sinnissippi Centers Inc | 3476459876 | 35 |
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 |
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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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