Jessica Lee Derise, LCSW-C in Redwood City, CA - Medicare Social Worker Provider

Jessica Lee Derise, LCSW-C is a medicare enrolled "Social Worker - Clinical" provider in Redwood City, California. Her current practice location is 251 Jackson Ave, Redwood City, California. You can reach out to her office (for appointments etc.) via phone at (650) 368-2383.

Jessica Lee Derise is licensed to practice in Maryland (license number 18803) 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 1134358658.

Contact Information

	Jessica Lee Derise, LCSW-C
	251 Jackson Ave, Redwood City, CA 94061-1630
	(650) 368-2383
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jessica Lee Derise
Gender	Female
Speciality	Social Worker - Clinical
Location	251 Jackson Ave, Redwood City, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134358658
Provider Enumeration Date: 07/06/2009
Last Update Date: 02/15/2024

Medicare PECOS Information:

PECOS PAC ID: 5395120554
Enrollment ID: I20220923002350

Medical Identifiers

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

Identifier	Type	State	Issuer
1134358658	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	18803 (Maryland)	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 Lee Derise allows following entities to bill medicare on her behalf.

Entity Name	Salus Health Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285244004 PECOS PAC ID: 8123436540 Enrollment ID: O20210422002298

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 Lee Derise 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 Lee Derise, LCSW-C 1020 Saint Paul St, Baltimore, MD 21202-2606 Ph: () -	Jessica Lee Derise, LCSW-C 251 Jackson Ave, Redwood City, CA 94061-1630 Ph: (650) 368-2383

Reviews and Comments

Social Worker in Redwood City, CA

Kimberly Larson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2686 Spring St, Redwood City, CA 94063 Phone: 650-368-3345
Mrs. Kimberly Ann Loughery, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 333 Twin Dolphin Dr, Ste. 203, Redwood City, CA 94065 Phone: 650-670-6287
Ms. Joelle Natalie Mourad Mitchell, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1400 Veterans Blvd, 3rd Floor, Redwood City, CA 94063 Phone: 650-299-4354
Ms. Jacqueline Elyse Inglis, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 165 Arch St, Redwood City, CA 94062 Phone: 650-363-0383
Danielle Lacampagne, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 802 Brewster Ave, Redwood City, CA 94063 Phone: 650-363-4117
Timothy R Holecheck, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 400 Edmonds Rd, Redwood City, CA 94062 Phone: 650-839-1810 Fax: 650-839-1463

Jessica Lee Derise, LCSW-C - Medicare Clinical Social Worker in Redwood City, CA