Jennifer D Derisse, LCADC in Kearny, NJ - Medicare Counselor Provider

Jennifer D Derisse, LCADC is a medicare enrolled "Counselor - Addiction (substance Use Disorder)" provider in Kearny, New Jersey. Her current practice location is 206 Bergen Ave, Kearny, New Jersey. You can reach out to her office (for appointments etc.) via phone at (732) 210-0509.

Jennifer D Derisse is licensed to practice in * (Not Available) (license number 37LC00296100) 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 1336784826.

Contact Information

	Jennifer D Derisse, LCADC
	206 Bergen Ave, Kearny, NJ 07032-3384
	(732) 210-0509
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jennifer D Derisse
Gender	Female
Speciality	Counselor - Addiction (substance Use Disorder)
Location	206 Bergen Ave, Kearny, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336784826
Provider Enumeration Date: 11/08/2019
Last Update Date: 11/08/2019

Medicare PECOS Information:

PECOS PAC ID: 7113452251
Enrollment ID: I20241126001056

Medical Identifiers

Medical identifiers for Jennifer D Derisse such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336784826	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	37LC00296100 (* (Not Available))	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. Jennifer D Derisse allows following entities to bill medicare on her behalf.

Entity Name	Serv Centers Of New Jersey, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356454615 PECOS PAC ID: 8820983117 Enrollment ID: O20040217000005

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. Jennifer D Derisse 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
Jennifer D Derisse, LCADC 206 Bergen Ave, Kearny, NJ 07032-3384 Ph: (732) 210-0509	Jennifer D Derisse, LCADC 206 Bergen Ave, Kearny, NJ 07032-3384 Ph: (732) 210-0509

Reviews and Comments

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Jennifer D Derisse, LCADC - Medicare Counselor in Kearny, NJ