Jerilyn Pence Harrington, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Blackfoot, Idaho. Her current practice location is
98 Poplar St, Blackfoot, Idaho. You can reach out to her office (for appointments etc.) via phone at
(208) 785-4100.
Jerilyn Pence Harrington is licensed to practice in * (Not Available) (license number ) 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 1366730012.
Healthcare Provider's Profile
| Full Name | Jerilyn Pence Harrington |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 98 Poplar St, Blackfoot, Idaho |
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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: 1366730012
- Provider Enumeration Date: 07/15/2011
- Last Update Date: 10/17/2023
Medicare PECOS Information:
- PECOS PAC ID: 7012234008
- Enrollment ID: I20150401001318
Medical Identifiers
Medical identifiers for Jerilyn Pence Harrington such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1366730012 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101Y00000X | Counselor | LCSW-33446 (Idaho) | Secondary |
| 101Y00000X | Counselor | 7759507-3502 (Utah) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (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. Jerilyn Pence Harrington allows following entities to bill medicare on her behalf.
| Entity Name | Bmh Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1255539193
PECOS PAC ID: 8426149758
Enrollment ID: O20071018000897 |
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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. Jerilyn Pence Harrington 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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Jerilyn Pence Harrington, LCSW
98 Poplar St,
Blackfoot, ID 83221-1758
Ph: (208) 785-4100 | Jerilyn Pence Harrington, LCSW
98 Poplar St,
Blackfoot, ID 83221-1758
Ph: (208) 785-4100 |
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