Jessica Bui, is a medicare enrolled "Social Worker - Clinical" provider in Brookhaven, Georgia. Her current practice location is
1493 Grant Dr Ne, Brookhaven, Georgia. You can reach out to her office (for appointments etc.) via phone at
(608) 214-8338.
Jessica Bui is licensed to practice in Georgia (license number CSW006871) 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 1073961512.
Healthcare Provider's Profile
Full Name | Jessica Bui |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 1493 Grant Dr Ne, Brookhaven, Georgia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1073961512
- Provider Enumeration Date: 05/25/2016
- Last Update Date: 08/04/2025
Medicare PECOS Information:
- PECOS PAC ID: 2961869599
- Enrollment ID: I20230613001049
Medical Identifiers
Medical identifiers for Jessica Bui such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073961512 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | CSW006871 (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 Bui allows following entities to bill medicare on her behalf.
Entity Name | Sondermind Provider Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210225002747 |
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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 Bui 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 |
Jessica Bui, 1493 Grant Dr Ne, Brookhaven, GA 30319-3527 Ph: (082) 148-3386 | Jessica Bui, 1493 Grant Dr Ne, Brookhaven, GA 30319-3527 Ph: (608) 214-8338 |
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