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 | 301 |
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 Jennifer Eileen Mieszala allows following entities to bill medicare on her behalf.
| Entity Name | Sailor Health Medical PA |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1841012960
PECOS PAC ID: 4486182342
Enrollment ID: O20251113002861 |
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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 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 |
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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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