Melissa Sundberg, LCSW in O Fallon, IL - Medicare Social Worker Provider

Melissa Sundberg, LCSW is a medicare enrolled "Social Worker - Clinical" provider in O Fallon, Illinois. Her current practice location is 3 Saint Elizabeth Blvd Ste 4000, O Fallon, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 233-5480.

Melissa Sundberg is licensed to practice in Montana (license number 44018) 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 1992316608.

Contact Information

	Melissa Sundberg, LCSW
	3 Saint Elizabeth Blvd Ste 4000, O Fallon, IL 62269-1284
	(618) 233-5480
	(618) 222-4792

Map and Direction

Healthcare Provider's Profile

Full Name	Melissa Sundberg
Gender	Female
Speciality	Social Worker - Clinical
Location	3 Saint Elizabeth Blvd Ste 4000, O Fallon, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1992316608
Provider Enumeration Date: 08/14/2020
Last Update Date: 07/25/2024

Medicare PECOS Information:

PECOS PAC ID: 3173060241
Enrollment ID: I20240807000966

Medical Identifiers

Medical identifiers for Melissa Sundberg such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992316608	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	44018 (Montana)	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. Melissa Sundberg allows following entities to bill medicare on her behalf.

Entity Name	Southern Illinois Healthcare Foundation, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609813500 PECOS PAC ID: 1456256874 Enrollment ID: O20031126000641

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. Melissa Sundberg 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
Melissa Sundberg, LCSW 3 Saint Elizabeth Blvd Ste 4000, O Fallon, IL 62269-1284 Ph: (618) 233-5480	Melissa Sundberg, LCSW 3 Saint Elizabeth Blvd Ste 4000, O Fallon, IL 62269-1284 Ph: (618) 233-5480

Reviews and Comments

Social Worker in O Fallon, IL

Rachel Salazar, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 209 Woodland Ct, O Fallon, IL 62269 Phone: 303-564-0711
Robert F Stoelzle, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1529 Round Top Rdg, O Fallon, IL 62269 Phone: 618-581-0224
Kristin Beckstrom Radcliffe, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8 Eagle Ctr, Suite 4, O Fallon, IL 62269 Phone: 618-616-1235
Renata B Sledge, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1329 Pepperidge Dr, O Fallon, IL 62269 Phone: 317-451-9298
Krista Michelle Mcdonald, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 220 E State St Ste 2a, O Fallon, IL 62269 Phone: 618-402-4676
Mrs. Janel Morey-sassano, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 752 Seagate Dr, O Fallon, IL 62269 Phone: 618-213-2442 Fax: 618-769-2161
Ms. Ella M. Duncan, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 7 Eagle Ctr Ste B-1, O Fallon, IL 62269 Phone: 618-726-2041 Fax: 618-726-2043

Melissa Sundberg, LCSW - Medicare Clinical Social Worker in O Fallon, IL