Jacqueline Michele Rousseaux-pershing, LCSW in Wilkes Barre, PA

Jacqueline Michele Rousseaux-pershing, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Wilkes Barre, Pennsylvania. Her current practice location is 16 S River St, Wilkes Barre, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (831) 392-5757.

Jacqueline Michele Rousseaux-pershing is licensed to practice in California (license number 119601) 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 1689187551.

Contact Information

	Jacqueline Michele Rousseaux-pershing, LCSW
	16 S River St, Wilkes Barre, PA 18702-2406
	(831) 392-5757
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jacqueline Michele Rousseaux-pershing
Gender	Female
Speciality	Social Worker - Clinical
Location	16 S River St, Wilkes Barre, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689187551
Provider Enumeration Date: 11/14/2017
Last Update Date: 09/04/2025

Medicare PECOS Information:

PECOS PAC ID: 1052857331
Enrollment ID: I20240723001894

Medical Identifiers

Medical identifiers for Jacqueline Michele Rousseaux-pershing such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689187551	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	119601 (California)	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. Jacqueline Michele Rousseaux-pershing allows following entities to bill medicare on her behalf.

Entity Name	Grow Healthcare Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154994846 PECOS PAC ID: 1850774746 Enrollment ID: O20220809004080

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 Michele Rousseaux-pershing 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 Michele Rousseaux-pershing, LCSW 16 S River St, Wilkes Barre, PA 18702-2406 Ph: (831) 392-5757	Jacqueline Michele Rousseaux-pershing, LCSW 16 S River St, Wilkes Barre, PA 18702-2406 Ph: (831) 392-5757

Reviews and Comments

Social Worker in Wilkes Barre, PA

Ms. Colleen Ann Lutchko, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1111 E End Blvd, Wilkes Barre, PA 18711 Phone: 570-824-3521
Mr. Anthony Black, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 110 S Pennsylvania Ave, Wilkes Barre, PA 18701 Phone: 570-552-6000 Fax: 570-552-6021
Heather Catherine Pugliese, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1000 East Mountain Blvd, Wilkes Barre, PA 18711 Phone: 570-808-7908 Fax: 570-808-5592
Mr. John Jason Wallace, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1111 E End Blvd, Wilkes Barre, PA 18711 Phone: 570-824-3521
Patricia P Hoovler, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 110 S Pennsylvania Ave, Wilkes Barre, PA 18701 Phone: 570-552-6000
Ms. Eve Souchik, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 33 E Northampton St, Wilkes Barre, PA 18701 Phone: 570-822-7118 Fax: 570-829-7781
Evan Baier, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 335 S Franklin St, Wilkes Barre, PA 18702 Phone: 570-825-6425

Jacqueline Michele Rousseaux-pershing, LCSW - Medicare Clinical Social Worker in Wilkes Barre, PA