Jennifer Conrardy, PSYD - Medicare Psychologist in Kenosha, WI

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



Healthcare Provider's Profile

Full NameJennifer Conrardy
GenderFemale
SpecialityPsychologist - Clinical
Location2108 63rd St, Kenosha, Wisconsin
Accepts Medicare AssignmentsMedicare 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.
IdentifierTypeStateIssuer
1942936539NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - 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 NameProfessional Services Group Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619024262
PECOS PAC ID: 8224296454
Enrollment ID: O20120220000742

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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. 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 AddressPractice 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

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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

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