Individual ProviderMarissa Elaine KragerSocial WorkerBehavioral Health & Social Service ProvidersPractice Address1008 Mary Ave, Dixon, IL 61021-1424(815) 973-8963PECOS EnrollmentBased on the most recent information from CMS, provider Marissa Elaine Krager does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1457071201Provider TypeIndividualFull NameKrager, Marissa ElaineGenderFemaleSole ProprietorYesEnumeration Date8/31/2022Last Updated8/31/2022Contact InformationPractice LocationPractice Address1008 Mary Ave, Dixon, IL 61021-1424Phone(815) 973-8963FaxUnlisted FaxMailing LocationMailing Address1008 Mary Ave, Dixon, IL 61021-1424Phone(815) 973-8963FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense149.021902Illinois