Ms Jennifer Lorie Mchorse, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Phoenix, Arizona. Her current practice location is
4212 N 16th St, Phoenix, Arizona. You can reach out to her office (for appointments etc.) via phone at
(602) 263-1200.
Ms Jennifer Lorie Mchorse is licensed to practice in California (license number 72333) 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 1285883819.
Healthcare Provider's Profile
| Full Name | Ms Jennifer Lorie Mchorse |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 4212 N 16th St, Phoenix, Arizona |
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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: 1285883819
- Provider Enumeration Date: 09/18/2008
- Last Update Date: 09/24/2024
Medicare PECOS Information:
- PECOS PAC ID: 7315294824
- Enrollment ID: I20180716000318
Medical Identifiers
Medical identifiers for Ms Jennifer Lorie Mchorse such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1285883819 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 72333 (California) | 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 Jennifer Lorie Mchorse allows following entities to bill medicare on her behalf.
| Entity Name | Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1083643738
PECOS PAC ID: 1759290901
Enrollment ID: O20031105000797 |
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| Entity Name | Pine Ridge Indian Health Service Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1497786412
PECOS PAC ID: 4688571326
Enrollment ID: O20031218000966 |
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| Entity Name | Pine Ridge Indian Health Service Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1003963497
PECOS PAC ID: 7214825371
Enrollment ID: O20040309001203 |
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| Entity Name | Pine Ridge Indian Health Service Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1962559518
PECOS PAC ID: 4688654130
Enrollment ID: O20040723000965 |
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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 Lorie Mchorse 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 Lorie Mchorse, LCSW
Po Box 95460,
Cleveland, OH 44101-0033
Ph: (602) 263-1200 | Ms Jennifer Lorie Mchorse, LCSW
4212 N 16th St,
Phoenix, AZ 85016
Ph: (602) 263-1200 |
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