Holly Jedlicka, MSW, LISW-S in Pataskala, OH - Medicare Clinical Social Worker Provider

Holly Jedlicka, MSW, LISW-S is a medicare enrolled "Social Worker - Clinical" provider in Pataskala, Ohio. She graduated from medical school in 2007 and has 17 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Pbj Connections Inc and her current practice location is 9800 Jug St Nw, Pataskala, Ohio. You can reach out to her office (for appointments etc.) via phone at (614) 395-1395.

Holly Jedlicka is licensed to practice in Ohio (license number 1000061) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1033460480.

Contact Information

	Holly Jedlicka, MSW, LISW-S
	9800 Jug St Nw, Pataskala, OH 43062-8691
	(614) 395-1395
	(740) 927-1516

Map and Direction

Healthcare Provider's Profile

Full Name	Holly Jedlicka
Gender	Female
Speciality	Clinical Social Worker
Experience	17 Years
Location	9800 Jug St Nw, Pataskala, Ohio
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Holly Jedlicka graduated from medical school in 2007

NPI Data:

NPI Number: 1033460480
Provider Enumeration Date: 09/25/2012
Last Update Date: 09/25/2012

Medicare PECOS Information:

PECOS PAC ID: 1254693765
Enrollment ID: I20180321002371

Medical Identifiers

Medical identifiers for Holly Jedlicka such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033460480	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	1000061 (Ohio)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Pbj Connections Inc	1456613967	2

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. Holly Jedlicka allows following entities to bill medicare on her behalf.

Entity Name	Pbj Connections Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821302654 PECOS PAC ID: 1456613967 Enrollment ID: O20180321002221

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. Holly Jedlicka 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
Holly Jedlicka, MSW, LISW-S Po Box 92, Kirkersville, OH 43033-0092 Ph: (614) 395-1395	Holly Jedlicka, MSW, LISW-S 9800 Jug St Nw, Pataskala, OH 43062-8691 Ph: (614) 395-1395

Reviews and Comments

Social Worker in Pataskala, OH

Allen Roberts, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 131 Oak Meadow Dr Ste 102, Pataskala, OH 43062 Phone: 614-835-6068 Fax: 614-524-0428
Mr. Jon W Fouts, ACSW, LISW-S Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 24 East Front St Ste 203, Pataskala, OH 43062 Phone: 740-877-8115
Joann Heichel, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 241 Essex Pl, Pataskala, OH 43062 Phone: 614-989-1647
Colleen Dempsey, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9734 Jug St Nw, Pataskala, OH 43062 Phone: 937-369-5305
Heather Wise, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9734 Jug St Nw, Pataskala, OH 43062 Phone: 740-924-7543
Erin Davies, LISW, JD Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9734 Jug St Nw, Pataskala, OH 43062 Phone: 740-924-7543

Holly Jedlicka, MSW, LISW-S - Medicare Clinical Social Worker in Pataskala, OH