Autumn Marie Jarvis, LICSW in Duluth, MN - Medicare Clinical Social Worker Provider

Autumn Marie Jarvis, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Duluth, Minnesota. She graduated from medical school in 2018 and has 8 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Bellin Psychiatric Center Inc and her current practice location is 502 E 2nd St, Duluth, Minnesota. You can reach out to her office (for appointments etc.) via phone at (218) 786-8376.

Autumn Marie Jarvis is licensed to practice in Minnesota (license number 31486) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1336725720.

Contact Information

	Autumn Marie Jarvis, LICSW
	502 E 2nd St, Duluth, MN 55805-1913
	(218) 786-8376
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Autumn Marie Jarvis
Gender	Female
Speciality	Clinical Social Worker
Experience	8 Years
Location	502 E 2nd St, Duluth, Minnesota
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Autumn Marie Jarvis graduated from medical school in 2018

NPI Data:

NPI Number: 1336725720
Provider Enumeration Date: 03/24/2021
Last Update Date: 05/04/2026

Medicare PECOS Information:

PECOS PAC ID: 0143697151
Enrollment ID: I20221104000272

Medical Identifiers

Medical identifiers for Autumn Marie Jarvis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336725720	NPI	-	NPPES
6801117151	Other	MI	1041C0700X
9823-123	Other	WI	LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	090420149 (Virginia)	Secondary
1041C0700X	Social Worker - Clinical	6801117151 (Michigan)	Secondary
1041C0700X	Social Worker - Clinical	31486 (Minnesota)	Primary
1041C0700X	Social Worker - Clinical	9823 (Wisconsin)	Secondary
1041C0700X	Social Worker - Clinical	0904020149 (Virginia)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Bellin Psychiatric Center Inc	4486551058	66

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. Autumn Marie Jarvis allows following entities to bill medicare on her behalf.

Entity Name	Bellin Psychiatric Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952554800 PECOS PAC ID: 4486551058 Enrollment ID: O20031212000884

Entity Name	The Duluth Clinic Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245278209 PECOS PAC ID: 2567374283 Enrollment ID: O20181205000866

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. Autumn Marie Jarvis 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
Autumn Marie Jarvis, LICSW 10408 Us Highway 151, Manitowoc, WI 54220-9775 Ph: (715) 410-3433	Autumn Marie Jarvis, LICSW 502 E 2nd St, Duluth, MN 55805-1913 Ph: (218) 786-8376

Reviews and Comments

Social Worker in Duluth, MN

Melissa Ann Winkler, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4000 W 9th St, Duluth, MN 55807 Phone: 218-625-2638 Fax: 651-323-2184
Emily Lundgren, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11 E Superior St Ste 415, Duluth, MN 55802 Phone: 218-249-0595
Megan Elizabeth Tezak, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 810 E 4th St, Duluth, MN 55805 Phone: 218-728-4491 Fax: 218-302-8698
Glenn Howard Tobey, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 17 1/2 N Lake Ave Rm 201, Duluth, MN 55802 Phone: 218-740-4389 Fax: 218-740-4389
Emma Faye Shannon, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1502 London Rd Ste 205, Duluth, MN 55812 Phone: 612-234-4689 Fax: 612-234-4689
Natalie Jo Ryan, MSW, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 810 E 4th St, Duluth, MN 55805 Phone: 218-624-5683 Fax: 218-624-5736
Zayla Asquith-heinz, LGSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4325 Grand Ave, Duluth, MN 55807 Phone: 218-722-1497 Fax: 218-722-6239

Autumn Marie Jarvis, LICSW - Medicare Clinical Social Worker in Duluth, MN