Jacqueline Liszewski, LCSW, MATS is a medicare enrolled "Counselor" provider in Gary, Indiana. She graduated from medical school in 2015 and has 10 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Munster Behavioral Health Inc and her current practice location is
8000 Melton Rd, Gary, Indiana. You can reach out to her office (for appointments etc.) via phone at
(219) 938-4651.
Jacqueline Liszewski is licensed to practice in Indiana (license number 33008998A) 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 1548816333.
Healthcare Provider's Profile
| Full Name | Jacqueline Liszewski |
|---|
| Gender | Female |
|---|
| Speciality | Clinical Social Worker |
|---|
| Experience | 10 Years |
|---|
| Location | 8000 Melton Rd, Gary, Indiana |
|---|
| 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:
- Jacqueline Liszewski graduated from medical school in 2015
NPI Data:
- NPI Number: 1548816333
- Provider Enumeration Date: 08/16/2019
- Last Update Date: 10/17/2023
Medicare PECOS Information:
- PECOS PAC ID: 2163873001
- Enrollment ID: I20240104004278
Medical Identifiers
Medical identifiers for Jacqueline Liszewski such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1548816333 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | 34010715A (Indiana) | Secondary |
| 101Y00000X | Counselor | 33008998A (Indiana) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Munster Behavioral Health Inc | 5395113732 | 3 |
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. Jacqueline Liszewski allows following entities to bill medicare on her behalf.
| Entity Name | Munster Behavioral Health Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1295330736
PECOS PAC ID: 5395113732
Enrollment ID: O20221116001638 |
|---|
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. Jacqueline Liszewski 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 |
|---|
Jacqueline Liszewski, LCSW, MATS
8000 Melton Rd,
Gary, IN 46403-3114
Ph: (219) 938-4651 | Jacqueline Liszewski, LCSW, MATS
8000 Melton Rd,
Gary, IN 46403-3114
Ph: (219) 938-4651 |
Reviews and Comments