Brenda Jones, LCSW - Medicare Clinical Social Worker in Oshkosh, WI

Brenda Jones, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Oshkosh, Wisconsin. She graduated from medical school in 1994 and has 30 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Sherman Counseling Management Sc and her current practice location is 222 Ohio St Ste B, Oshkosh, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (888) 474-1344.

Brenda Jones is licensed to practice in Wisconsin (license number 9941123) 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 1386658979.

Contact Information

Brenda Jones, LCSW
222 Ohio St Ste B,
Oshkosh, WI 54902-5825
(888) 474-1344
(412) 206-0128

Map and Direction




Healthcare Provider's Profile

Full NameBrenda Jones
GenderFemale
SpecialityClinical Social Worker
Experience30 Years
Location222 Ohio St Ste B, Oshkosh, Wisconsin
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Brenda Jones graduated from medical school in 1994
  NPI Data:
  • NPI Number: 1386658979
  • Provider Enumeration Date: 07/28/2006
  • Last Update Date: 11/09/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2668473448
  • Enrollment ID: I20230724002454

Medical Identifiers

Medical identifiers for Brenda Jones such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386658979NPI-NPPES
857409OtherPABC/BS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical CW013850 (Pennsylvania)Secondary
1041C0700XSocial Worker - Clinical 9941123 (Wisconsin)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sherman Counseling Management Sc892133818712

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. Brenda Jones allows following entities to bill medicare on her behalf.
Entity NameSherman Counseling Management Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235251349
PECOS PAC ID: 8921338187
Enrollment ID: O20191001002490
Entity NameOptum Behavioral Care Of Colorado, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487424826
PECOS PAC ID: 0941648463
Enrollment ID: O20240429000918

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. Brenda Jones 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 AddressPractice Location Address
Brenda Jones, LCSW
222 Ohio St Ste B,
Oshkosh, WI 54902-5825

Ph: (888) 474-1344
Brenda Jones, LCSW
222 Ohio St Ste B,
Oshkosh, WI 54902-5825

Ph: (888) 474-1344

Reviews and Comments


Social Worker in Oshkosh, WI

Samantha N Becker,
Clinical Social Worker
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Practice Location: 220 Washington Ave, Oshkosh, WI 54901
Phone: 920-236-4700    
Wendy Wiegman, M.S.W.
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Medicare: Not Enrolled in Medicare
Practice Location: 220 Washington Ave, Oshkosh, WI 54901
Phone: 920-236-4700    
Jennifer Kettenhoven, LCSW
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Phone: 920-526-1027    
Mrs. Sarah Elizabeth Danahy, LCSW
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Medicare: Medicare Enrolled
Practice Location: 600 N Westhaven Dr, Oshkosh, WI 54904
Phone: 920-237-5000    Fax: 920-237-5001
Theresa A Boudreau-vnuk, B.X.
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 220 Washington Ave, Oshkosh, WI 54901
Phone: 920-236-4700    
Marissa B Lee,
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 220 Washington Ave, Oshkosh, WI 54901
Phone: 920-236-4700    
Laura R. Sandberg, LCSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 303 Pearl Ave, Suite C, Oshkosh, WI 54901
Phone: 920-233-4557    Fax: 920-233-5644

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.