Jennifer Conrardy, PSYD in Kenosha, WI - Medicare Psychologist Provider

Jennifer Conrardy, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Kenosha, Wisconsin. Her current practice location is 2108 63rd St, Kenosha, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 652-2406.

Jennifer Conrardy is licensed to practice in Wisconsin (license number 4052) 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 1942936539.

Contact Information

	Jennifer Conrardy, PSYD
	2108 63rd St, Kenosha, WI 53143-4454
	(262) 652-2406
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jennifer Conrardy
Gender	Female
Speciality	Psychologist - Clinical
Location	2108 63rd St, Kenosha, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1942936539
Provider Enumeration Date: 07/27/2022
Last Update Date: 09/12/2022

Medicare PECOS Information:

PECOS PAC ID: 6608251962
Enrollment ID: I20220922002036

Medical Identifiers

Medical identifiers for Jennifer Conrardy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942936539	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	4052 (Wisconsin)	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 Conrardy allows following entities to bill medicare on her behalf.

Entity Name	Professional Services Group Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619024262 PECOS PAC ID: 8224296454 Enrollment ID: O20120220000742

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 Conrardy 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
Jennifer Conrardy, PSYD 6233 39th Ave # 301, Kenosha, WI 53142-7015 Ph: (262) 654-1004	Jennifer Conrardy, PSYD 2108 63rd St, Kenosha, WI 53143-4454 Ph: (262) 652-2406

Reviews and Comments

Psychologist in Kenosha, WI

Melissa A Wingate, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 10400 75th St, Kenosha, WI 53142 Phone: 262-948-7815 Fax: 262-948-7816
Dr. Michael Matthew Mihajlovic, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4536 22nd Ave, Kenosha, WI 53140 Phone: 262-656-0044 Fax: 262-653-2218
Dr. Katherine M Flynn, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 12225 71st St, Kenosha, WI 53142 Phone: 262-948-4780
Danielle Defreese, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 10400 75th St, Kenosha, WI 53142 Phone: 262-948-6839
David T Marx, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4536 22nd Ave, Kenosha, WI 53140 Phone: 262-656-0044 Fax: 262-653-2218
Debra Johansen, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6121 Green Bay Rd, Suite 230, Kenosha, WI 53142 Phone: 262-654-8366
Dr. Kristin Marie Keeler, PSY.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5024 Green Bay Rd, Suite 120, Kenosha, WI 53144 Phone: 262-652-2365 Fax: 262-652-2071

Jennifer Conrardy, PSYD - Medicare Psychologist in Kenosha, WI