Jennifer J Borchardt, LCSW CSAC is a medicare enrolled "Social Worker - Clinical" provider in Wisconsin Rapids, Wisconsin. She graduated from healthcare school in 2011 and has 13 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Cornerstone Clinic Llc and her current practice location is
2611 12th Street South, Wisconsin Rapids, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(715) 421-8865.
Jennifer J Borchardt is licensed to practice in Wisconsin (license number 8230-123) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1245589787.
Healthcare Provider's Profile
| Full Name | Jennifer J Borchardt |
|---|
| Gender | Female |
|---|
| Speciality | Clinical Social Worker |
|---|
| Experience | 13 Years |
|---|
| Location | 2611 12th Street South, Wisconsin Rapids, Wisconsin |
|---|
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Jennifer J Borchardt graduated from medical school in 2011
NPI Data:
- NPI Number: 1245589787
- Provider Enumeration Date: 08/30/2012
- Last Update Date: 05/10/2021
Medicare PECOS Information:
- PECOS PAC ID: 0749500858
- Enrollment ID: I20150513000832
Medical Identifiers
Medical identifiers for Jennifer J Borchardt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1245589787 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 16080-132 (Wisconsin) | Secondary |
| 1041C0700X | Social Worker - Clinical | 8230-123 (Wisconsin) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Cornerstone Clinic Llc | 0042645046 | 7 |
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 J Borchardt allows following entities to bill medicare on her behalf.
| Entity Name | Cornerstone Clinic Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1861037293
PECOS PAC ID: 0042645046
Enrollment ID: O20200122000859 |
|---|
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 J Borchardt 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 J Borchardt, LCSW CSAC
111 W Jackson St,
Wisconsin Rapids, WI 54495-2702
Ph: (715) 421-8865 | Jennifer J Borchardt, LCSW CSAC
2611 12th Street South,
Wisconsin Rapids, WI 54494
Ph: (715) 421-8865 |
Reviews and Comments