Jessica Ann Summerville, - Medicare Counselor in Vancouver, WA

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Jessica Ann Summerville, is a medicare enrolled "Social Worker - Clinical" provider in Vancouver, Washington. Her current practice location is 1498 Se Tech Center Pl Ste 300, Vancouver, Washington. You can reach out to her office (for appointments etc.) via phone at (360) 200-8756.

Jessica Ann Summerville is licensed to practice in Washington (license number LW61396047) 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 1770063646.

Contact Information

Jessica Ann Summerville,
1498 Se Tech Center Pl Ste 300,
Vancouver, WA 98683-5509
(360) 200-8756
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameJessica Ann Summerville
GenderFemale
SpecialitySocial Worker - Clinical
Location1498 Se Tech Center Pl Ste 300, Vancouver, Washington
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1770063646
  • Provider Enumeration Date: 08/20/2018
  • Last Update Date: 01/23/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 1557894177
  • Enrollment ID: I20241104001666

Medical Identifiers

Medical identifiers for Jessica Ann Summerville such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770063646NPI-NPPES
911585652MedicaidWA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health LH61164216 (Washington)Secondary
1041C0700XSocial Worker - Clinical LW61396047 (Washington)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. Jessica Ann Summerville allows following entities to bill medicare on her behalf.
Entity NameReal Life Counseling Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053782078
PECOS PAC ID: 6406156231
Enrollment ID: O20151201002009

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. Jessica Ann Summerville 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
Jessica Ann Summerville,
1498 Se Tech Center Pl Ste 300,
Vancouver, WA 98683-5509

Ph: (360) 560-8846		Jessica Ann Summerville,
1498 Se Tech Center Pl Ste 300,
Vancouver, WA 98683-5509

Ph: (360) 200-8756

Reviews and Comments


Social Worker in Vancouver, WA


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.