Mrs Mary Condon, RD, LDN in Flossmoor, IL - Medicare Dietitian, Registered Provider

Mrs Mary Condon, RD, LDN is a medicare enrolled "Dietitian, Registered" provider in Flossmoor, Illinois. Her current practice location is 19550 Governors Hwy Ste 2400, Flossmoor, Illinois. You can reach out to her office (for appointments etc.) via phone at (708) 915-8850.

Mrs Mary Condon is licensed to practice in Illinois (license number 164006369) 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 1417436767.

Contact Information

	Mrs Mary Condon, RD, LDN
	19550 Governors Hwy Ste 2400, Flossmoor, IL 60422-2144
	(708) 915-8850
	(708) 915-8586

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Mary Condon
Gender	Female
Speciality	Dietitian, Registered
Location	19550 Governors Hwy Ste 2400, Flossmoor, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417436767
Provider Enumeration Date: 08/08/2018
Last Update Date: 08/08/2018

Medicare PECOS Information:

PECOS PAC ID: 2961924428
Enrollment ID: I20250313003493

Medical Identifiers

Medical identifiers for Mrs Mary Condon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417436767	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	164006369 (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. Mrs Mary Condon allows following entities to bill medicare on her behalf.

Provider Name	Maine Coast Regional Health Facilities
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1740249739 PECOS PAC ID: 1052208113 Enrollment ID: O20040804001405

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. Mrs Mary 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
Mrs Mary Condon, RD, LDN 19550 Governors Hwy Ste 2400, Flossmoor, IL 60422-2144 Ph: (708) 915-8850	Mrs Mary Condon, RD, LDN 19550 Governors Hwy Ste 2400, Flossmoor, IL 60422-2144 Ph: (708) 915-8850

Reviews and Comments

Dietitian, Registered in Flossmoor, IL

Kimberly Kramer, RD, LDN Dietitian Medicare: Medicare Enrolled Practice Location: 19550 Governors Hwy, Flossmoor, IL 60422 Phone: 708-915-8853 Fax: 708-915-8586
Ms. Laura Mueller, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 19550 Governors Hwy, Suite 2750, Flossmoor, IL 60422 Phone: 708-915-8532 Fax: 708-915-8586
Dr. Yolanda Cartwright, PH.D., R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3640 Antholl St, Flossmoor, IL 60422 Phone: 708-957-4522 Fax: 708-957-4404
Ms. Aisha A Nix-hughes, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2643 Flossmoor Rd Apt 105, Flossmoor, IL 60422 Phone: 815-529-8664
Ms. Anila Nijhawan, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3235 Vollmer Rd, Suite # 120, Flossmoor, IL 60422 Phone: 708-957-8746 Fax: 708-206-0095

Mrs Mary Condon, RD, LDN - Medicare Dietitian in Flossmoor, IL