Ms Jennifer Eileen Mieszala, LCSW, CADC is a medicare enrolled "Social Worker - Clinical" provider in Park Ridge, Illinois. She graduated from healthcare school in 2011 and has 15 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Sailor Health Medical Pa and her current practice location is
1400 Renaissance Dr, #101, Park Ridge, Illinois. You can reach out to her office (for appointments etc.) via phone at
(847) 963-9639.
Ms Jennifer Eileen Mieszala is licensed to practice in Illinois (license number 149016728) 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 1477987915.
Healthcare Provider's Profile
| Full Name | Ms Jennifer Eileen Mieszala |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 15 Years |
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| Location | 1400 Renaissance Dr, Park Ridge, Illinois |
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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 Jennifer Eileen Mieszala graduated from medical school in 2011
NPI Data:
- NPI Number: 1477987915
- Provider Enumeration Date: 08/31/2013
- Last Update Date: 06/24/2014
Medicare PECOS Information:
- PECOS PAC ID: 2163906942
- Enrollment ID: I20260319001691
Medical Identifiers
Medical identifiers for Ms Jennifer Eileen Mieszala such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1477987915 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 20754 (Illinois) | Secondary |
| 104100000X | Social Worker | 150013502 (Illinois) | Secondary |
| 1041C0700X | Social Worker - Clinical | 149016728 (Illinois) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Sailor Health Medical Pa | 4486182342 | 210 |
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 Jennifer Eileen Mieszala 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 |
|---|
Ms Jennifer Eileen Mieszala, LCSW, CADC
1400 Renaissance Dr, #101,
Park Ridge, IL 60068-1329
Ph: (847) 963-9639 | Ms Jennifer Eileen Mieszala, LCSW, CADC
1400 Renaissance Dr, #101,
Park Ridge, IL 60068-1329
Ph: (847) 963-9639 |
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