Mrs Deborah Kay Conlon, NP is a medicare enrolled "Family Medicine" physician in Montrose, Michigan. Her current practice location is
190 E State St, Montrose, Michigan. You can reach out to her office (for appointments etc.) via phone at
(810) 639-2056.
Mrs Deborah Kay Conlon is licensed to practice in Michigan (license number 4704164104) 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 1407829302.
Physician's Profile
| Full Name | Mrs Deborah Kay Conlon |
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| Gender | Female |
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| Speciality | Family Medicine |
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| Location | 190 E State St, Montrose, Michigan |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1407829302
- Provider Enumeration Date: 02/10/2006
- Last Update Date: 02/10/2010
Medicare PECOS Information:
- PECOS PAC ID: 4284656695
- Enrollment ID: I20051229000278
Medical Identifiers
Medical identifiers for Mrs Deborah Kay Conlon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1407829302 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 4704164104 (Michigan) | 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 Deborah Kay Conlon allows following entities to bill medicare on her behalf.
| Entity Name | Mclaren Health Management Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1912072349
PECOS PAC ID: 8628985215
Enrollment ID: O20040617000043 |
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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. Mrs Deborah Kay Conlon 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 Deborah Kay Conlon, NP
14067 Woodview Dr,
Fenton, MI 48430
Ph: (810) 714-5174 | Mrs Deborah Kay Conlon, NP
190 E State St,
Montrose, MI 48457-9144
Ph: (810) 639-2056 |
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