Rebecca Jyll Siwanowicz, LCSW in Concord, NC - Medicare Social Worker Provider

Rebecca Jyll Siwanowicz, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Concord, North Carolina. Her current practice location is 284 Executive Park Dr, Concord, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 939-1100.

Rebecca Jyll Siwanowicz is licensed to practice in North Carolina (license number C016256) 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 1780268672.

Contact Information

	Rebecca Jyll Siwanowicz, LCSW
	284 Executive Park Dr, Concord, NC 28025-1831
	(704) 939-1100
	(704) 939-1173

Map and Direction

Healthcare Provider's Profile

Full Name	Rebecca Jyll Siwanowicz
Gender	Female
Speciality	Social Worker - Clinical
Location	284 Executive Park Dr, Concord, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780268672
Provider Enumeration Date: 05/07/2021
Last Update Date: 02/13/2024

Medicare PECOS Information:

PECOS PAC ID: 1254789324
Enrollment ID: I20231129003848

Medical Identifiers

Medical identifiers for Rebecca Jyll Siwanowicz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780268672	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	SW16961 (Florida)	Secondary
1041C0700X	Social Worker - Clinical	C016256 (North Carolina)	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. Rebecca Jyll Siwanowicz allows following entities to bill medicare on her behalf.

Entity Name	Solas Health Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710046925 PECOS PAC ID: 7315915469 Enrollment ID: O20040917000215

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20221208000188

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. Rebecca Jyll Siwanowicz 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 Address	Practice Location Address
Rebecca Jyll Siwanowicz, LCSW 4525 Nc 87 S, Sanford, NC 27332-0212 Ph: (954) 235-7013	Rebecca Jyll Siwanowicz, LCSW 284 Executive Park Dr, Concord, NC 28025-1831 Ph: (704) 939-1100

Reviews and Comments

Social Worker in Concord, NC

Ms. Sonja Jo Bohannon-thacker, MSW, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 363 Church St N Ste 250v, Concord, NC 28025 Phone: 704-920-1199 Fax: 704-934-4270
Karen Rodriguez, MSW., P-LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 202d Mcgill Ave Nw, Concord, NC 28025 Phone: 704-792-2315
Katie Evett Huneycutt, MSW, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 284 Executive Park Dr, Suite 100, Concord, NC 28025 Phone: 704-939-1100 Fax: 704-939-1173
Ms. Stacia Lynn Crick-brommel, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 101 Cabarrus Ave E, Concord, NC 28025 Phone: 888-849-7379 Fax: 855-857-7333
Kiera Brown, MSW, LCSW, LCAS-A Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 219 Lephillip Court, Concord, NC 28025 Phone: 704-721-5551
Kristy Elliott Benfield, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 101 Cabarrus Ave E, Concord, NC 28025 Phone: 888-849-7379 Fax: 855-857-7333
Kaitlyn Lumston Armstrong, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 257 Church St Ne, Concord, NC 28025 Phone: 336-870-6398

Rebecca Jyll Siwanowicz, LCSW - Medicare Clinical Social Worker in Concord, NC