Individual ProviderKelsey ReuterSocial WorkerBehavioral Health & Social Service ProvidersPractice Address628 Reynoldswood Rd, Dixon, IL 61021-9108(608) 289-7239PECOS EnrollmentBased on the most recent information from CMS, provider Kelsey Reuter 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 ID1790459790Provider TypeIndividualFull NameReuter, KelseyCredentialLCSWGenderFemaleSole ProprietorYesEnumeration Date8/3/2021Last Updated8/3/2021Contact InformationPractice LocationPractice Address628 Reynoldswood Rd, Dixon, IL 61021-9108Phone(608) 289-7239FaxUnlisted FaxMailing LocationMailing Address628 Reynoldswood Rd, Dixon, IL 61021-9108PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense149.023480Illinois