Jessica Grace Thalhamer, DC is a medicare enrolled "Social Worker - Clinical" provider in West Islip, New York. Her current practice location is
480 Union Blvd Unit 188, West Islip, New York. You can reach out to her office (for appointments etc.) via phone at
(631) 417-6505.
Jessica Grace Thalhamer is licensed to practice in New York (license number 097116) 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 1639647837.
Healthcare Provider's Profile
| Full Name | Jessica Grace Thalhamer |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 480 Union Blvd Unit 188, West Islip, New York |
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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: 1639647837
- Provider Enumeration Date: 11/06/2018
- Last Update Date: 02/23/2024
Medicare PECOS Information:
- PECOS PAC ID: 4082056361
- Enrollment ID: I20240531003222
Medical Identifiers
Medical identifiers for Jessica Grace Thalhamer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1639647837 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | 013113 (New York) | Secondary |
| 1041C0700X | Social Worker - Clinical | 097116 (New York) | 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. Jessica Grace Thalhamer allows following entities to bill medicare on her behalf.
| Provider Name | Grow Healthcare Group Pa |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1245845932
PECOS PAC ID: 3476961368
Enrollment ID: O20221117000517 |
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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. Jessica Grace Thalhamer 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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Jessica Grace Thalhamer, DC
Po Box 188,
West Islip, NY 11795-0188
Ph: (631) 417-6505 | Jessica Grace Thalhamer, DC
480 Union Blvd Unit 188,
West Islip, NY 11795-6008
Ph: (631) 417-6505 |
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