Jessica Soos Pawlowski, LCSW is a medicare enrolled "Social Worker - Clinical" provider in New Buffalo, Michigan. Her current practice location is
11068 Riverview Dr, New Buffalo, Michigan. You can reach out to her office (for appointments etc.) via phone at
(773) 407-0385.
Jessica Soos Pawlowski is licensed to practice in Illinois (license number 149010464) 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 1134881667.
Healthcare Provider's Profile
| Full Name | Jessica Soos Pawlowski |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 11068 Riverview Dr, New Buffalo, Michigan |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1134881667
- Provider Enumeration Date: 10/12/2021
- Last Update Date: 11/23/2021
Medicare PECOS Information:
- PECOS PAC ID: 8921498478
- Enrollment ID: I20211124001033
Medical Identifiers
Medical identifiers for Jessica Soos Pawlowski such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1134881667 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1041C0700X | Social Worker - Clinical | 6801112453 (Michigan) | Secondary |
| 1041C0700X | Social Worker - Clinical | 149010464 (Illinois) | 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 Soos Pawlowski allows following entities to bill medicare on her behalf.
| Entity Name | Psychiatric Specialties, Plc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1841321072
PECOS PAC ID: 5799729265
Enrollment ID: O20050615000511 |
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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 Soos Pawlowski 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 |
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Jessica Soos Pawlowski, LCSW
11068 Riverview Dr,
New Buffalo, MI 49117-9259
Ph: (773) 407-0385 | Jessica Soos Pawlowski, LCSW
11068 Riverview Dr,
New Buffalo, MI 49117-9259
Ph: (773) 407-0385 |
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