Jennifer Elizabeth Charley, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Ganado, Arizona. Her current practice location is
Po Box 457, Ganado, Arizona. You can reach out to her office (for appointments etc.) via phone at
(928) 755-4586.
Jennifer Elizabeth Charley is licensed to practice in Arizona (license number LCSW-22076) 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 1023534419.
Healthcare Provider's Profile
| Full Name | Jennifer Elizabeth Charley |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | Po Box 457, Ganado, Arizona |
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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: 1023534419
- Provider Enumeration Date: 08/17/2017
- Last Update Date: 06/11/2025
Medicare PECOS Information:
- PECOS PAC ID: 6709242951
- Enrollment ID: I20240903003716
Medical Identifiers
Medical identifiers for Jennifer Elizabeth Charley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1023534419 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | BBH-LAC-LIC-62407 (Montana) | Secondary |
| 1041C0700X | Social Worker - Clinical | BBH-LCSW-LIC-50538 (Montana) | Secondary |
| 1041C0700X | Social Worker - Clinical | SWB-2024-0096 (New Mexico) | Secondary |
| 1041C0700X | Social Worker - Clinical | I.2103325 (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW-22076 (Arizona) | 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 Elizabeth Charley allows following entities to bill medicare on her behalf.
| Entity Name | Navajo Health Foundation-sage Memorial Hospital, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1477735777
PECOS PAC ID: 2163332347
Enrollment ID: O20040326001225 |
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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. Jennifer Elizabeth Charley 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 Elizabeth Charley, LCSW
Po Box 457,
Ganado, AZ 86505-0457
Ph: (928) 755-4586 | Jennifer Elizabeth Charley, LCSW
Po Box 457,
Ganado, AZ 86505-0457
Ph: (928) 755-4586 |
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