Ms Jill Freshour, LCSW in Fort Wayne, IN - Medicare Social Worker Provider

Ms Jill Freshour, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Fort Wayne, Indiana. Her current practice location is 3512 Stellhorn Rd, Fort Wayne, Indiana. You can reach out to her office (for appointments etc.) via phone at (260) 483-9081.

Ms Jill Freshour is licensed to practice in Indiana (license number 34005809A) 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 1720077654.

Contact Information

	Ms Jill Freshour, LCSW
	3512 Stellhorn Rd, Fort Wayne, IN 46815-4631
	(260) 483-9081
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Jill Freshour
Gender	Female
Speciality	Social Worker - Clinical
Location	3512 Stellhorn Rd, Fort Wayne, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720077654
Provider Enumeration Date: 10/13/2005
Last Update Date: 05/23/2024

Medicare PECOS Information:

PECOS PAC ID: 5890823264
Enrollment ID: I20100505000288

Medical Identifiers

Medical identifiers for Ms Jill Freshour such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720077654	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	34005809A (Indiana)	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 Jill Freshour allows following entities to bill medicare on her behalf.

Entity Name	Extended Care Specialists, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134146079 PECOS PAC ID: 2466407713 Enrollment ID: O20050318000726

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 Jill Freshour 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 Jill Freshour, LCSW Po Box 392552, Pittsburgh, PA 15251-9500 Ph: (604) 839-0812	Ms Jill Freshour, LCSW 3512 Stellhorn Rd, Fort Wayne, IN 46815-4631 Ph: (260) 483-9081

Reviews and Comments

Social Worker in Fort Wayne, IN

Alia Osborn, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6526 Hillsboro Ln, Fort Wayne, IN 46835 Phone: 260-494-2205
Nicholas Todoran, MSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1909 Carew St, Fort Wayne, IN 46805 Phone: 260-481-2800 Fax: 260-969-8442
Jeri Ann Forrest, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1818 Carew St, Suite 230, Fort Wayne, IN 46805 Phone: 260-373-8000 Fax: 260-373-8003
Rikki Lynn Treesh, MSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4918 Canterbury Dr, Fort Wayne, IN 46835 Phone: 260-241-6191
Ms. Yvonne Smith, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3262 Mallard Cove Ln, Fort Wayne, IN 46804 Phone: 260-580-8508 Fax: 260-755-1451
Deborah Louise Amick, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12333 Southampton Dr, Fort Wayne, IN 46814 Phone: 260-672-0491
Scott Kruse, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2121 Lake Ave, Fort Wayne, IN 46805 Phone: 260-426-5431 Fax: 260-421-1029

Ms Jill Freshour, LCSW - Medicare Clinical Social Worker in Fort Wayne, IN