Jennie R Bowyer Lcsw, LCSW is a medicare enrolled "Social Worker - Clinical" provider in New Glarus, Wisconsin. Her current practice location is
1307 State Road 69, New Glarus, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(608) 921-8493.
Jennie R Bowyer Lcsw is licensed to practice in Wisconsin (license number 8897-123) 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 1649637380.
Healthcare Provider's Profile
| Full Name | Jennie R Bowyer Lcsw |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 1307 State Road 69, New Glarus, Wisconsin |
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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: 1649637380
- Provider Enumeration Date: 01/26/2016
- Last Update Date: 10/12/2023
Medicare PECOS Information:
- PECOS PAC ID: 5193236594
- Enrollment ID: I20250613000133
Medical Identifiers
Medical identifiers for Jennie R Bowyer Lcsw such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1649637380 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | 8897-123 (Wisconsin) | Secondary |
| 1041C0700X | Social Worker - Clinical | 8897-123 (Wisconsin) | 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. Jennie R Bowyer Lcsw allows following entities to bill medicare on her behalf.
| Entity Name | Lakeside Counseling Center, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1215443882
PECOS PAC ID: 3577006758
Enrollment ID: O20240617000182 |
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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. Jennie R Bowyer Lcsw 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 |
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Jennie R Bowyer Lcsw, LCSW
1307 State Road 69,
New Glarus, WI 53574-9328
Ph: (608) 527-2401 | Jennie R Bowyer Lcsw, LCSW
1307 State Road 69,
New Glarus, WI 53574-9328
Ph: (608) 921-8493 |
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