Jessica D Hersom, LCSW, LADC is a medicare enrolled "Social Worker - Clinical" provider in Belfast, Maine. She graduated from healthcare school in 2015 and has 11 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Mainehealth and her current practice location is
119 Northport Ave Fl 1, Belfast, Maine. You can reach out to her office (for appointments etc.) via phone at
(207) 505-4567.
Jessica D Hersom is licensed to practice in Maine (license number LC20114) 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 1316442940.
Healthcare Provider's Profile
| Full Name | Jessica D Hersom |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 11 Years |
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| Location | 119 Northport Ave Fl 1, Belfast, Maine |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jessica D Hersom graduated from medical school in 2015
NPI Data:
- NPI Number: 1316442940
- Provider Enumeration Date: 03/26/2018
- Last Update Date: 01/22/2026
Medicare PECOS Information:
- PECOS PAC ID: 4082002878
- Enrollment ID: I20211027003065
Medical Identifiers
Medical identifiers for Jessica D Hersom such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1316442940 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LC6782 (Maine) | Secondary |
| 1041C0700X | Social Worker - Clinical | LC20114 (Maine) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Mainehealth | 7517860588 | 2595 |
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 D Hersom allows following entities to bill medicare on her behalf.
| Entity Name | Mainehealth |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1790265502
PECOS PAC ID: 7517860588
Enrollment ID: O20040701000166 |
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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. Jessica D Hersom 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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Jessica D Hersom, LCSW, LADC
119 Northport Ave Fl 1,
Belfast, ME 04915-6069
Ph: (207) 505-4567 | Jessica D Hersom, LCSW, LADC
119 Northport Ave Fl 1,
Belfast, ME 04915-6069
Ph: (207) 505-4567 |
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