Elizabeth A Jensema, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Sheboygan Falls, Wisconsin. Her current practice location is
W2228 Koene Ct, Sheboygan Falls, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(920) 980-2183.
Elizabeth A Jensema is licensed to practice in Wisconsin (license number 8522123) 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 1295014199.
Healthcare Provider's Profile
Full Name | Elizabeth A Jensema |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | W2228 Koene Ct, Sheboygan Falls, Wisconsin |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1295014199
- Provider Enumeration Date: 08/09/2011
- Last Update Date: 03/31/2023
Medicare PECOS Information:
- PECOS PAC ID: 4587836390
- Enrollment ID: I20241217001253
Medical Identifiers
Medical identifiers for Elizabeth A Jensema such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1295014199 | NPI | - | NPPES |
1295014199 | Medicaid | MN | |
1295014199 | Other | | BCBS MN |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 8522123 (Wisconsin) | 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. Elizabeth A Jensema allows following entities to bill medicare on her behalf.
Entity Name | Talkspace Provider Network Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1639814049 PECOS PAC ID: 5799136701 Enrollment ID: O20240415002987 |
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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. Elizabeth A Jensema 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 |
Elizabeth A Jensema, LCSW W2228 Koene Ct, Sheboygan Falls, WI 53085-2719 Ph: (920) 980-2183 | Elizabeth A Jensema, LCSW W2228 Koene Ct, Sheboygan Falls, WI 53085-2719 Ph: (920) 980-2183 |
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