Jacqueline Liszewski, LCSW, MATS is a medicare enrolled "Counselor" provider in Gary, Indiana. Her current practice location is
8000 Melton Rd, Gary, Indiana. You can reach out to her office (for appointments etc.) via phone at
(219) 938-4651.
Jacqueline Liszewski is licensed to practice in Indiana (license number 33008998A) 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 1548816333.
Healthcare Provider's Profile
Full Name | Jacqueline Liszewski |
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Gender | Female |
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Speciality | Counselor |
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Location | 8000 Melton Rd, Gary, Indiana |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1548816333
- Provider Enumeration Date: 08/16/2019
- Last Update Date: 10/17/2023
Medicare PECOS Information:
- PECOS PAC ID: 2163873001
- Enrollment ID: I20240104004278
Medical Identifiers
Medical identifiers for Jacqueline Liszewski such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1548816333 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 34010715A (Indiana) | Secondary |
101Y00000X | Counselor | 33008998A (Indiana) | 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. Jacqueline Liszewski allows following entities to bill medicare on her behalf.
Entity Name | Munster Behavioral Health Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1295330736 PECOS PAC ID: 5395113732 Enrollment ID: O20221116001638 |
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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. Jacqueline Liszewski 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 |
Jacqueline Liszewski, LCSW, MATS 8000 Melton Rd, Gary, IN 46403-3114 Ph: (219) 938-4651 | Jacqueline Liszewski, LCSW, MATS 8000 Melton Rd, Gary, IN 46403-3114 Ph: (219) 938-4651 |
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