Ms Jill B Gardner, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Bangor, Maine. She graduated from healthcare school in 2022 and has 3 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Health Affiliates Maine, Llc and her current practice location is
78 Larkin St Apt 2, Bangor, Maine. You can reach out to her office (for appointments etc.) via phone at
(207) 478-7785.
Ms Jill B Gardner is licensed to practice in Maine (license number LC23944) 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 1720530041.
Healthcare Provider's Profile
| Full Name | Ms Jill B Gardner |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 3 Years |
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| Location | 78 Larkin St Apt 2, Bangor, 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:
- Ms Jill B Gardner graduated from medical school in 2022
NPI Data:
- NPI Number: 1720530041
- Provider Enumeration Date: 11/03/2016
- Last Update Date: 10/07/2024
Medicare PECOS Information:
- PECOS PAC ID: 3971036583
- Enrollment ID: I20241104001338
Medical Identifiers
Medical identifiers for Ms Jill B Gardner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1720530041 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LC6547 (Maine) | Secondary |
| 1041C0700X | Social Worker - Clinical | LC23944 (Maine) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Health Affiliates Maine, Llc | 1951594076 | 155 |
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. Ms Jill B Gardner allows following entities to bill medicare on her behalf.
| Entity Name | Health Affiliates Maine, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1932413556
PECOS PAC ID: 1951594076
Enrollment ID: O20101021000912 |
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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. Ms Jill B Gardner 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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Ms Jill B Gardner, LCSW
78 Larkin St Apt 2,
Bangor, ME 04401-6214
Ph: (207) 478-7785 | Ms Jill B Gardner, LCSW
78 Larkin St Apt 2,
Bangor, ME 04401-6214
Ph: (207) 478-7785 |
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