Ms Jasmine Y Wynn, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Cedarbluff, Mississippi. Her current practice location is
65 Yellow Blossom Rd, Cedarbluff, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(662) 425-2210.
Ms Jasmine Y Wynn is licensed to practice in Mississippi (license number C11411) 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 1740091040.
Healthcare Provider's Profile
| Full Name | Ms Jasmine Y Wynn |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 65 Yellow Blossom Rd, Cedarbluff, Mississippi |
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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: 1740091040
- Provider Enumeration Date: 01/15/2025
- Last Update Date: 01/15/2025
Medicare PECOS Information:
- PECOS PAC ID: 9234651787
- Enrollment ID: I20250313003432
Medical Identifiers
Medical identifiers for Ms Jasmine Y Wynn such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1740091040 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | C11411 (Mississippi) | 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. Ms Jasmine Y Wynn allows following entities to bill medicare on her behalf.
| Entity Name | Mental Health Specialty Group Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1801472634
PECOS PAC ID: 8921466228
Enrollment ID: O20240808004359 |
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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 Jasmine Y Wynn 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 Jasmine Y Wynn, LCSW
65 Yellow Blossom Rd,
Cedarbluff, MS 39741-9010
Ph: (662) 425-2210 | Ms Jasmine Y Wynn, LCSW
65 Yellow Blossom Rd,
Cedarbluff, MS 39741-9010
Ph: (662) 425-2210 |
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