Elizabeth A Jensema, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Sheboygan Falls, Wisconsin. She graduated from medical school in 2005 and has 20 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Talkspace Provider Network Pa and 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
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 1295014199.
Healthcare Provider's Profile
| Full Name | Elizabeth A Jensema |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 20 Years |
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| Location | W2228 Koene Ct, Sheboygan Falls, Wisconsin |
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| 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:
- Elizabeth A Jensema graduated from medical school in 2005
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 |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Talkspace Provider Network Pa | 5799136701 | 197 |
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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| Entity Name | Mental Health Specialty Group Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1801472634 PECOS PAC ID: 8921466228 Enrollment ID: O20240729000310 |
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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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