Jessica Sheridan, LMSW is a medicare enrolled "Social Worker - Clinical" provider in Cumming, Georgia. Her current practice location is
104 Pilgrim Village Dr Ste 300, Suite 4245, Cumming, Georgia. You can reach out to her office (for appointments etc.) via phone at
(678) 595-2020.
Jessica Sheridan is licensed to practice in Georgia (license number 005777) 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 1164822623.
Healthcare Provider's Profile
| Full Name | Jessica Sheridan |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 104 Pilgrim Village Dr Ste 300, Cumming, Georgia |
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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: 1164822623
- Provider Enumeration Date: 09/02/2014
- Last Update Date: 01/12/2017
Medicare PECOS Information:
- PECOS PAC ID: 7618261306
- Enrollment ID: I20160803000647
Medical Identifiers
Medical identifiers for Jessica Sheridan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1164822623 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YP2500X | Counselor - Professional | MSW005974 (Georgia) | Secondary |
| 1041C0700X | Social Worker - Clinical | 005777 (Georgia) | 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 Sheridan allows following entities to bill medicare on her behalf.
| Entity Name | Therapeutic Impressions, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134661945
PECOS PAC ID: 1557646395
Enrollment ID: O20170317002131 |
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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 Sheridan 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 Sheridan, LMSW
7855 Kayak Way,
Cumming, GA 30028-8915
Ph: (678) 595-2020 | Jessica Sheridan, LMSW
104 Pilgrim Village Dr Ste 300, Suite 4245,
Cumming, GA 30040-9232
Ph: (678) 595-2020 |
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