Jeneba Koroma, in Beverly, MA - Medicare Social Worker Provider

Jeneba Koroma, is a medicare enrolled "Social Worker - Clinical" provider in Beverly, Massachusetts. Her current practice location is 800 Cummings Ctr Ste 266t, Beverly, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (978) 998-2373.

Jeneba Koroma is licensed to practice in Massachusetts (license number LICSW128099) 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 1578178125.

Contact Information

	Jeneba Koroma,
	800 Cummings Ctr Ste 266t, Beverly, MA 01915-6172
	(978) 998-2373
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jeneba Koroma
Gender	Female
Speciality	Social Worker - Clinical
Location	800 Cummings Ctr Ste 266t, Beverly, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578178125
Provider Enumeration Date: 09/10/2020
Last Update Date: 03/27/2025

Medicare PECOS Information:

PECOS PAC ID: 8022551134
Enrollment ID: I20240618000641

Medical Identifiers

Medical identifiers for Jeneba Koroma such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578178125	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	Secondary
1041C0700X	Social Worker - Clinical	LICSW128099 (Massachusetts)	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. Jeneba Koroma allows following entities to bill medicare on her behalf.

Entity Name	Northeast Health Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225067481 PECOS PAC ID: 6901866706 Enrollment ID: O20041015000643

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. Jeneba Koroma 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
Jeneba Koroma, 800 Cummings Ctr Ste 266t, Beverly, MA 01915-6172 Ph: (978) 998-2373	Jeneba Koroma, 800 Cummings Ctr Ste 266t, Beverly, MA 01915-6172 Ph: (978) 998-2373

Jeneba Koroma, - Medicare Counselor in Beverly, MA