Jade Angeline Brenneman, LCSW-C in Hagerstown, MD - Medicare Social Worker Provider

Jade Angeline Brenneman, LCSW-C is a medicare enrolled "Social Worker - Clinical" provider in Hagerstown, Maryland. Her current practice location is 18714 North Village Shopping Center, Hagerstown, Maryland. You can reach out to her office (for appointments etc.) via phone at (301) 733-0330.

Jade Angeline Brenneman is licensed to practice in Maryland (license number 27383) 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 1053080135.

Contact Information

	Jade Angeline Brenneman, LCSW-C
	18714 North Village Shopping Center, Hagerstown, MD 21742-2174
	(301) 733-0330
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jade Angeline Brenneman
Gender	Female
Speciality	Social Worker - Clinical
Location	18714 North Village Shopping Center, Hagerstown, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053080135
Provider Enumeration Date: 09/10/2021
Last Update Date: 02/19/2024

Medicare PECOS Information:

PECOS PAC ID: 2466898879
Enrollment ID: I20240307003006

Medical Identifiers

Medical identifiers for Jade Angeline Brenneman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053080135	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	27383 (Maryland)	Primary
104100000X	Social Worker	(* (Not Available))	Secondary

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. Jade Angeline Brenneman allows following entities to bill medicare on her behalf.

Entity Name	Brook Lane Behavioral Services, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538647748 PECOS PAC ID: 5991055022 Enrollment ID: O20180911000549

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. Jade Angeline Brenneman 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
Jade Angeline Brenneman, LCSW-C 13121 Brooklane Dr, Hagerstown, MD 21742-1514 Ph: (301) 733-0330	Jade Angeline Brenneman, LCSW-C 18714 North Village Shopping Center, Hagerstown, MD 21742-2174 Ph: (301) 733-0330

Reviews and Comments

Social Worker in Hagerstown, MD

Annette Jeffers, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 370 Virginia Ave, Hagerstown, MD 21740 Phone: 301-733-3130
Victoria Leizer, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5 Public Sq # 428, Hagerstown, MD 21740 Phone: 301-514-3960
Vicki S Churchey, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 18714 N Village, Hagerstown, MD 21742 Phone: 301-733-0330 Fax: 301-733-4038
Ms. Patti Kay Cooper, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11116 Medical Campus Rd, Suite 2989, Hagerstown, MD 21742 Phone: 301-766-7600 Fax: 301-766-7702
Tammy Sherrard, LCSW-C Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1180 Professional Ct, Hagerstown, MD 21740 Phone: 301-791-3045 Fax: 240-313-3071
Mr. Edward John Soffe, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 113 S Prospect St, Hagerstown, MD 21740 Phone: 301-573-2800
Desirae Mehaffie, LCSWC Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1180 Professional Ct, Hagerstown, MD 21740 Phone: 301-791-3045 Fax: 240-313-3071

Jade Angeline Brenneman, LCSW-C - Medicare Clinical Social Worker in Hagerstown, MD