Jacquelyn Kesserman, LCSW in Buena Park, CA - Medicare Social Worker Provider

Jacquelyn Kesserman, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Buena Park, California. Her current practice location is 10350 Miranda Ave, Buena Park, California. You can reach out to her office (for appointments etc.) via phone at (562) 715-8703.

Jacquelyn Kesserman is licensed to practice in California (license number LCSW81103) 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 1003491671.

Contact Information

	Jacquelyn Kesserman, LCSW
	10350 Miranda Ave, Buena Park, CA 90620-4447
	(562) 715-8703
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jacquelyn Kesserman
Gender	Female
Speciality	Social Worker - Clinical
Location	10350 Miranda Ave, Buena Park, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003491671
Provider Enumeration Date: 03/15/2021
Last Update Date: 03/15/2021

Medicare PECOS Information:

PECOS PAC ID: 3971968983
Enrollment ID: I20230426002700

Medical Identifiers

Medical identifiers for Jacquelyn Kesserman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003491671	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LCSW81103 (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. Jacquelyn Kesserman allows following entities to bill medicare on her behalf.

Entity Name	Soultenders Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164617007 PECOS PAC ID: 6507170453 Enrollment ID: O20150917001766

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. Jacquelyn Kesserman 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
Jacquelyn Kesserman, LCSW 10350 Miranda Ave, Buena Park, CA 90620-4447 Ph: (562) 715-8703	Jacquelyn Kesserman, LCSW 10350 Miranda Ave, Buena Park, CA 90620-4447 Ph: (562) 715-8703

Reviews and Comments

Social Worker in Buena Park, CA

Angela Linsenmeyer-acklin, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 54 Sycamore Ln, Buena Park, CA 90621 Phone: 530-304-7356
Ms. Jessica H Pulido, ASW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6301 Beach Blvd, Suite 245, Buena Park, CA 90621 Phone: 714-736-0231 Fax: 714-736-0895
Joo Yeon Kim, MSW, ACSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4979 Avila Way, Buena Park, CA 90621 Phone: 714-337-6418
Mr. Eranio Garchitorena Cordova Jr., LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6301 Beach Blvd Ste 245, Buena Park, CA 90621 Phone: 714-736-0231 Fax: 714-736-0895
Ms. Maria Guadalupe Carrillo, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6301 Beach Blvd Ste 245, Buena Park, CA 90621 Phone: 714-736-0231
Rosemary Lynn Nielsen, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1850 Knott Ave, Buena Park, CA 90620 Phone: 714-236-3876

Jacquelyn Kesserman, LCSW - Medicare Clinical Social Worker in Buena Park, CA