Ms Jennifer Noelle Pettijohn, LCSW - Medicare Clinical Social Worker in Pryor, OK

Ms Jennifer Noelle Pettijohn, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Pryor, Oklahoma. Her current practice location is 109 N Fairland St., Pryor, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (918) 825-1405.

Ms Jennifer Noelle Pettijohn is licensed to practice in Oklahoma (license number 6246) 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 1295017614.

Contact Information

Ms Jennifer Noelle Pettijohn, LCSW
109 N Fairland St.,
Pryor, OK 74361-4203
(918) 825-1405
(918) 825-1406

Map and Direction




Healthcare Provider's Profile

Full NameMs Jennifer Noelle Pettijohn
GenderFemale
SpecialitySocial Worker - Clinical
Location109 N Fairland St., Pryor, Oklahoma
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1295017614
  • Provider Enumeration Date: 09/12/2011
  • Last Update Date: 02/11/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1951522622
  • Enrollment ID: I20180809000974

Medical Identifiers

Medical identifiers for Ms Jennifer Noelle Pettijohn such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295017614NPI-NPPES
200372200AMedicaidOK

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 6246 (Oklahoma)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. Ms Jennifer Noelle Pettijohn allows following entities to bill medicare on her behalf.
Entity NameGrand Lake Mental Health Center, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497762520
PECOS PAC ID: 4688711534
Enrollment ID: O20091026000174

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. Ms Jennifer Noelle Pettijohn 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 AddressPractice Location Address
Ms Jennifer Noelle Pettijohn, LCSW
109 N Fairland St.,
Pryor, OK 74361-4203

Ph: (918) 825-1405
Ms Jennifer Noelle Pettijohn, LCSW
109 N Fairland St.,
Pryor, OK 74361-4203

Ph: (918) 825-1405

Reviews and Comments


Social Worker in Pryor, OK

Tiffany Nicole Tottress, MSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 109 N Fairland St, Pryor, OK 74361
Phone: 918-825-1405    Fax: 918-825-1406
Floyd Grant, L.C.S.W.
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 109 N Fairland St, Suite 101, Pryor, OK 74361
Phone: 918-825-2884    
Ms. Tiffany Jo Tomaso-kelly, LCSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 109 N Fairland St., Pryor, OK 74361
Phone: 918-629-3533    
Christie Hilsheimer, LCSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 109 N Fairland St, Pryor, OK 74361
Phone: 918-825-1406    Fax: 918-876-3436
Allison Rose,
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 109 N Fairland St, Pryor, OK 74361
Phone: 539-240-4411    
Taylor Autumn Andoe, LMSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 109 N Fairland St, Pryor, OK 74361
Phone: 918-825-1405    Fax: 918-825-1406

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.