Jessica Rae Ngotngamwong, LCSW in Tulsa, OK - Medicare Social Worker Provider

Jessica Rae Ngotngamwong, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Tulsa, Oklahoma. Her current practice location is 7935 E 57th St, Tulsa, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (918) 268-6379.

Jessica Rae Ngotngamwong is licensed to practice in Oklahoma (license number 4891) 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 1861630600.

Contact Information

	Jessica Rae Ngotngamwong, LCSW
	7935 E 57th St, Tulsa, OK 74145
	(918) 268-6379
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jessica Rae Ngotngamwong
Gender	Female
Speciality	Social Worker - Clinical
Location	7935 E 57th St, Tulsa, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861630600
Provider Enumeration Date: 02/02/2009
Last Update Date: 07/28/2021

Medicare PECOS Information:

PECOS PAC ID: 9234480724
Enrollment ID: I20210804002274

Medical Identifiers

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

Identifier	Type	State	Issuer
1861630600	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	4891 (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. Jessica Rae Ngotngamwong allows following entities to bill medicare on her behalf.

Entity Name	Jeffrey K Mcilroy Md Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053531830 PECOS PAC ID: 8527962216 Enrollment ID: O20031124000657

Entity Name	Renewed Hope Counseling Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366076341 PECOS PAC ID: 6507376613 Enrollment ID: O20250609001027

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 Rae Ngotngamwong 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 Rae Ngotngamwong, LCSW 6216 S Lewis Ave, Ste 180, Tulsa, OK 74136-1077 Ph: (918) 960-7852	Jessica Rae Ngotngamwong, LCSW 7935 E 57th St, Tulsa, OK 74145 Ph: (918) 268-6379

Reviews and Comments

Social Worker in Tulsa, OK

Mrs. Rebekah Elizabeth Kesler, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2626 E 21st St, Tulsa, OK 74114 Phone: 918-900-2081
Ms. Charlotte L Cribbs, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 650 S Peoria Ave, Tulsa, OK 74120 Phone: 918-587-9471 Fax: 918-560-1399
Ms. Joella Mohrland Anglin, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1538 N Lewis Ave, Tulsa, OK 74110 Phone: 918-400-7001 Fax: 539-202-5070
Julie Ann Kinzie, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1919 S Wheeling Ave, Suite 204, Tulsa, OK 74104 Phone: 918-403-7200 Fax: 918-293-3110
Ms. Lindsey Brook Vandeventer, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 11740 E 21st St, Tulsa, OK 74129 Phone: 918-437-9495
Teresa Baker, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4835 S Fulton Ave Ste 107, Tulsa, OK 74135 Phone: 918-712-8800
Jessica Cannon, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4444 E 41st St, Tulsa, OK 74135 Phone: 918-619-4400

Jessica Rae Ngotngamwong, LCSW - Medicare Clinical Social Worker in Tulsa, OK