Jill Marie Ingersoll, LCSW in Canyon Lake, TX - Medicare Social Worker Provider

Jill Marie Ingersoll, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Canyon Lake, Texas. Her current practice location is 1010 Blue Water Dr, Canyon Lake, Texas. You can reach out to her office (for appointments etc.) via phone at (180) 848-9543.

Jill Marie Ingersoll is licensed to practice in Texas (license number 67137) 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 1912760901.

Contact Information

	Jill Marie Ingersoll, LCSW
	1010 Blue Water Dr, Canyon Lake, TX 78133-5584
	(180) 848-9543
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jill Marie Ingersoll
Gender	Female
Speciality	Social Worker - Clinical
Location	1010 Blue Water Dr, Canyon Lake, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912760901
Provider Enumeration Date: 02/01/2024
Last Update Date: 02/01/2024

Medicare PECOS Information:

PECOS PAC ID: 8921530213
Enrollment ID: I20241010004242

Medical Identifiers

Medical identifiers for Jill Marie Ingersoll such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912760901	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	67137 (Texas)	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. Jill Marie Ingersoll allows following entities to bill medicare on her behalf.

Entity Name	S Kincheloe Counseling Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487361143 PECOS PAC ID: 4688061955 Enrollment ID: O20240829003113

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. Jill Marie Ingersoll 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
Jill Marie Ingersoll, LCSW 1010 Blue Water Dr, Canyon Lake, TX 78133-5584 Ph: (808) 489-5438	Jill Marie Ingersoll, LCSW 1010 Blue Water Dr, Canyon Lake, TX 78133-5584 Ph: (180) 848-9543

Reviews and Comments

Social Worker in Canyon Lake, TX

Mr. Kelvin Drew Mccoy, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1950 Fm 2673, Canyon Lake, TX 78133 Phone: 254-488-8558
Prof. Cynthia Marie Millford, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 650 Lazy Oaks Dr, Canyon Lake, TX 78133 Phone: 210-722-2656
Elizabeth Rose Aleman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 650 Scarbourough, Canyon Lake, TX 78133 Phone: 830-964-4390
Mrs. Anne Marie Reynolds, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 924 Highview St, Canyon Lake, TX 78133 Phone: 210-358-9540 Fax: 210-358-5941
Heather Kopecki, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1576 Valley Frst, Canyon Lake, TX 78133 Phone: 830-391-2720

Jill Marie Ingersoll, LCSW - Medicare Clinical Social Worker in Canyon Lake, TX