Individual ProviderJennifer PayneSocial WorkerBehavioral Health & Social Service ProvidersPractice Address325 Il Route 2, Dixon, IL 61021-9118(815) 284-6611PECOS EnrollmentBased on the most recent information from CMS, provider Jennifer Payne is legally eligible to order and refer claims for Part B and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1578130605Provider TypeIndividualFull NamePayne, JenniferGenderFemaleSole ProprietorNoEnumeration Date6/8/2021Last Updated2/12/2025Contact InformationPractice LocationPractice Address325 Il Route 2, Dixon, IL 61021-9118Phone(815) 284-6611FaxUnlisted FaxMailing LocationMailing Address325 Il Route 2, Dixon, IL 61021-9118PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense149027490IllinoisCode101YM0800XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer