Jessica Baine, in Willimantic, CT - Medicare Social Worker Provider

Jessica Baine, is a medicare enrolled "Social Worker - Clinical" provider in Willimantic, Connecticut. Her current practice location is 54 North St, Willimantic, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 450-7122.

Jessica Baine is licensed to practice in Connecticut (license number 10487) 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 1164890232.

Contact Information

	Jessica Baine,
	54 North St, Willimantic, CT 06226-2528
	(860) 450-7122
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jessica Baine
Gender	Female
Speciality	Social Worker - Clinical
Location	54 North St, Willimantic, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164890232
Provider Enumeration Date: 09/08/2015
Last Update Date: 07/05/2022

Medicare PECOS Information:

PECOS PAC ID: 6507104247
Enrollment ID: I20190305002284

Medical Identifiers

Medical identifiers for Jessica Baine such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164890232	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	(* (Not Available))	Secondary
1041C0700X	Social Worker - Clinical	58.010487 (Connecticut)	Secondary
1041C0700X	Social Worker - Clinical	10487 (Connecticut)	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. Jessica Baine allows following entities to bill medicare on her behalf.

Entity Name	Perception Programs Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568530319 PECOS PAC ID: 1850680745 Enrollment ID: O20170323000304

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. Jessica Baine 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
Jessica Baine, 54 North St, Willimantic, CT 06226-2528 Ph: (860) 450-7122	Jessica Baine, 54 North St, Willimantic, CT 06226-2528 Ph: (860) 450-7122

Reviews and Comments

Social Worker in Willimantic, CT

Karvada Monique Hurt, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 65 Peru St, Willimantic, CT 06226 Phone: 860-465-9884
Virginia Lyon, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 40 Mansfield Ave, Willimantic, CT 06226 Phone: 860-450-0585 Fax: 860-450-0763
Lori Bernier, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 112 Mansfield Ave, Willimantic, CT 06226 Phone: 860-456-6793 Fax: 860-456-6957
Jessica L St. Louis, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 112 Mansfield Ave, Willimantic, CT 06226 Phone: 860-456-6985 Fax: 860-456-6771
Ms. Shannan Farr, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 132 Mansfield Ave, Suite 200, Willimantic, CT 06226 Phone: 860-456-2261
Mrs. Elizabeth Soucy Mendes, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 54 North St, Willimantic, CT 06226 Phone: 860-450-0151 Fax: 860-450-7152
Taylor Girard, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 54-56 Boston Post Road, Willimantic, CT 06226 Phone: 860-456-7990

Jessica Baine, - Medicare Clinical Social Worker in Willimantic, CT