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Kristina Rebelsky

Social Worker

Behavioral Health & Social Service Providers

PECOS Enrollment

Based on the most recent information from CMS, provider Kristina Rebelsky is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1205313616
Provider Type
Individual
Full Name
Rebelsky, Kristina
Credential
LISW

Gender
Female
Sole Proprietor
No
Enumeration Date
7/27/2018
Last Updated
1/27/2025

Contact Information

Practice Location

325 Il Route 2, Dixon, IL 61021-9118

(815) 284-6611

Unlisted Fax

Mailing Location

325 Il Route 2, Dixon, IL 61021-9118

(815) 284-6611

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 072728 Iowa
Code 1041C0700X	Description Social Worker Behavioral Health & Social Service Providers	License 149012642 Illinois

Kristina Rebelsky

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Roberts, Valerie N.

Boothe, Alison

Hemmen, Michael K

Woodrum, Helen R

Kelly, Carlee Renee

Bleuer, Nicole L

Dawtyne, Mary Grace

Payne, Jennifer

Andrews, Natalie A

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