Jennifer L Evancy, APSW - Medicare Counselor in Racine, WI

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Jennifer L Evancy, APSW is a medicare enrolled "Social Worker - Clinical" provider in Racine, Wisconsin. Her current practice location is 1143 Warwick Way, Racine, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 977-9290.

Jennifer L Evancy is licensed to practice in Wisconsin (license number 8650-123) 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 1154486876.

Contact Information

Jennifer L Evancy, APSW
1143 Warwick Way,
Racine, WI 53406-5661
(262) 977-9290
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameJennifer L Evancy
GenderFemale
SpecialitySocial Worker - Clinical
Location1143 Warwick Way, Racine, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1154486876
  • Provider Enumeration Date: 12/22/2006
  • Last Update Date: 02/11/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 9335417419
  • Enrollment ID: I20170613002719

Medical Identifiers

Medical identifiers for Jennifer L Evancy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154486876NPI-NPPES
391442732MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) 17601-130 (Wisconsin)Secondary
1041C0700XSocial Worker - Clinical 8650-123 (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. Jennifer L Evancy allows following entities to bill medicare on her behalf.
Entity NameProfessional Services Group Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619024262
PECOS PAC ID: 8224296454
Enrollment ID: O20120220000742

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 L Evancy 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 AddressPractice Location Address
Jennifer L Evancy, APSW
800 Goold St,
Racine, WI 53402-4567

Ph: (262) 638-2000		Jennifer L Evancy, APSW
1143 Warwick Way,
Racine, WI 53406-5661

Ph: (262) 977-9290

Reviews and Comments


Social Worker in Racine, WI


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.