Jessica Nicole Archer, LISW-S in Elyria, OH - Medicare Social Worker Provider

Jessica Nicole Archer, LISW-S is a medicare enrolled "Social Worker - Clinical" provider in Elyria, Ohio. Her current practice location is 824 E Broad St, Elyria, Ohio. You can reach out to her office (for appointments etc.) via phone at (440) 477-7195.

Jessica Nicole Archer is licensed to practice in Ohio (license number I.2103129) 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 1669963245.

Contact Information

	Jessica Nicole Archer, LISW-S
	824 E Broad St, Elyria, OH 44035-6559
	(440) 477-7195
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jessica Nicole Archer
Gender	Female
Speciality	Social Worker - Clinical
Location	824 E Broad St, Elyria, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1669963245
Provider Enumeration Date: 05/19/2018
Last Update Date: 04/08/2026

Medicare PECOS Information:

PECOS PAC ID: 2860859816
Enrollment ID: I20230606002486

Medical Identifiers

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

Identifier	Type	State	Issuer
1669963245	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	I.2103129 (Ohio)	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 Nicole Archer allows following entities to bill medicare on her behalf.

Entity Name	Ohioguidestone
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609123728 PECOS PAC ID: 5597910935 Enrollment ID: O20130308000507

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 Nicole Archer 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 Nicole Archer, LISW-S 824 E Broad St, Elyria, OH 44035-6559 Ph: (440) 477-7195	Jessica Nicole Archer, LISW-S 824 E Broad St, Elyria, OH 44035-6559 Ph: (440) 477-7195

Reviews and Comments

Social Worker in Elyria, OH

Carrie Ann Watson, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 206 Paradise Dr, Elyria, OH 44035 Phone: 440-420-0154
Mrs. Raquel Monique Gettis, LISW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 152 Preston St, Elyria, OH 44035 Phone: 440-476-7034
Tanya Lane Gustafson, LISW-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 356 Brittany Ln, Elyria, OH 44035 Phone: 615-294-1376
Mrs. Shelley L. Yavornitzky, LISW-S Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 41201 Schadden Rd, Elyria, OH 44035 Phone: 440-324-0487 Fax: 440-324-0487
Mrs. Katherine A Misterka, MSSA, LISW-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 347 Midway Blvd, Suite 200, Elyria, OH 44035 Phone: 440-723-5494 Fax: 440-324-9978
Colleen F Martin-telfer, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 347 Midway Blvd, Suite 204, Elyria, OH 44035 Phone: 440-324-4980 Fax: 216-378-3906
Courtney Beth Watkins, MSW, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2100 N Ridge Rd, Elyria, OH 44035 Phone: 440-324-1300 Fax: 440-277-0409

Jessica Nicole Archer, LISW-S - Medicare Clinical Social Worker in Elyria, OH