Ms Jessica Marie Dergance, LCSW in La Salle, IL - Medicare Clinical Social Worker Provider

Ms Jessica Marie Dergance, LCSW is a medicare enrolled "Social Worker - Clinical" provider in La Salle, Illinois. She graduated from medical school in 2007 and has 17 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Life Balance Counseling And Wellness Inc and her current practice location is 2428 Chartres St, La Salle, Illinois. You can reach out to her office (for appointments etc.) via phone at (815) 780-8765.

Ms Jessica Marie Dergance is licensed to practice in Illinois (license number 149014277) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1811293095.

Contact Information

	Ms Jessica Marie Dergance, LCSW
	2428 Chartres St, La Salle, IL 61301-1107
	(815) 780-8765
	(815) 780-8766

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Jessica Marie Dergance
Gender	Female
Speciality	Clinical Social Worker
Experience	17 Years
Location	2428 Chartres St, La Salle, Illinois
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ms Jessica Marie Dergance graduated from medical school in 2007

NPI Data:

NPI Number: 1811293095
Provider Enumeration Date: 02/04/2011
Last Update Date: 07/24/2018

Medicare PECOS Information:

PECOS PAC ID: 8628253820
Enrollment ID: I20110504000205

Medical Identifiers

Medical identifiers for Ms Jessica Marie Dergance such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811293095	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	149014277 (Illinois)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Life Balance Counseling And Wellness Inc	8325397904	5

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 Jessica Marie Dergance allows following entities to bill medicare on her behalf.

Entity Name	Life Balance Counseling And Wellness Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912409681 PECOS PAC ID: 8325397904 Enrollment ID: O20180814004194

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 Jessica Marie Dergance 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 Jessica Marie Dergance, LCSW 2428 Chartres St, La Salle, IL 61301-1107 Ph: (815) 224-1610	Ms Jessica Marie Dergance, LCSW 2428 Chartres St, La Salle, IL 61301-1107 Ph: (815) 780-8765

Reviews and Comments

Social Worker in La Salle, IL

Mrs. Michal Y Goldstein, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2970 Chartres St, La Salle, IL 61301 Phone: 815-223-9678
Nicole Heather Tonioni, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2428 Chartres St, La Salle, IL 61301 Phone: 815-780-8765
Mr. Shawn Wayne Slagle, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2970 Chartres St, La Salle, IL 61301 Phone: 815-223-9678 Fax: 815-223-9683
Ronda Ketner, L.C.S.W Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2960 Chartres St, La Salle, IL 61301 Phone: 815-224-1610
David Lee Martin, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2960 Chartres St, La Salle, IL 61301 Phone: 815-224-1610
Ms. Kimberly Forristall, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2960 Chartres St, La Salle, IL 61301 Phone: 815-224-1610 Fax: 815-223-1634
Noelle Sliker, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2960 Chartres St, La Salle, IL 61301 Phone: 815-224-1610

Ms Jessica Marie Dergance, LCSW - Medicare Clinical Social Worker in La Salle, IL