Ms Jacqueline C Porter-stewart, LCADC, LCSW, SAP, is a medicare enrolled "Counselor - Addiction (substance Use Disorder)" provider in Princeton, New Jersey. Her current practice location is
20 Nassau St, Suite 204, Princeton, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(609) 454-3080.
Ms Jacqueline C Porter-stewart is licensed to practice in New Jersey (license number 37LC00133600) 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 1912169103.
Healthcare Provider's Profile
| Full Name | Ms Jacqueline C Porter-stewart |
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| Gender | Female |
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| Speciality | Counselor - Addiction (substance Use Disorder) |
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| Location | 20 Nassau St, Princeton, New Jersey |
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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: 1912169103
- Provider Enumeration Date: 06/28/2008
- Last Update Date: 04/30/2020
Medicare PECOS Information:
- PECOS PAC ID: 7113905704
- Enrollment ID: I20170601001768
Medical Identifiers
Medical identifiers for Ms Jacqueline C Porter-stewart such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1912169103 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | 44SC05534200 (New Jersey) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 37LC00133600 (New Jersey) | 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. Ms Jacqueline C Porter-stewart allows following entities to bill medicare on her behalf.
| Entity Name | Supplanter Counseling & Mediation, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1124665708
PECOS PAC ID: 2365856440
Enrollment ID: O20210204000818 |
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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. Ms Jacqueline C Porter-stewart 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 |
|---|
Ms Jacqueline C Porter-stewart, LCADC, LCSW, SAP,
Supplanter Counseling & Mediation, Llc, 1330 Parkway Avenue, Ste. 12,
Ewing, NJ 08628-4509
Ph: (609) 454-3080 | Ms Jacqueline C Porter-stewart, LCADC, LCSW, SAP,
20 Nassau St, Suite 204,
Princeton, NJ 08542-4509
Ph: (609) 454-3080 |
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