Jenica Polakow, LCSW in Ventura, CA - Medicare Social Worker Provider

Jenica Polakow, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Ventura, California. Her current practice location is 790 E Santa Clara St Ste 102, Ventura, California. You can reach out to her office (for appointments etc.) via phone at (805) 830-8331.

Jenica Polakow is licensed to practice in California (license number LCSW79623) 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 1225529159.

Contact Information

	Jenica Polakow, LCSW
	790 E Santa Clara St Ste 102, Ventura, CA 93001-2967
	(805) 830-8331
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jenica Polakow
Gender	Female
Speciality	Social Worker - Clinical
Location	790 E Santa Clara St Ste 102, Ventura, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1225529159
Provider Enumeration Date: 05/26/2018
Last Update Date: 03/23/2022

Medicare PECOS Information:

PECOS PAC ID: 0143577502
Enrollment ID: I20180717002979

Medical Identifiers

Medical identifiers for Jenica Polakow such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225529159	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LCSW79623 (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. Jenica Polakow allows following entities to bill medicare on her behalf.

Entity Name	Blue Moon Senior Counseling Of California Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447678990 PECOS PAC ID: 9335360981 Enrollment ID: O20141023000497

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. Jenica Polakow 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
Jenica Polakow, LCSW 934 Blue Mountain Cir, Westlake Village, CA 91362-5457 Ph: (805) 380-8331	Jenica Polakow, LCSW 790 E Santa Clara St Ste 102, Ventura, CA 93001-2967 Ph: (805) 830-8331

Reviews and Comments

Social Worker in Ventura, CA

Ms. Patricia Lynn Mallery, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2674 E Main St Ste E442, Ventura, CA 93003 Phone: 805-826-3275
Varsenik Valerie Agopian, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1838 Eastman Ave, Suite 100, Ventura, CA 93003 Phone: 805-289-0120
Denise Anne Hubbard, MSW, ACSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1065 E Main St, Ventura, CA 93001 Phone: 805-652-0599 Fax: 805-652-1490
Mr. James Samuel Boldt, M.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 344 Lupine Way, Ventura, CA 93001 Phone: 805-643-4357
Chandra Newmark Weising, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4050 Market St, Ventura, CA 93003 Phone: 805-654-1422
Julio Mayo, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5740 Ralston St, Ste 201, Ventura, CA 93003 Phone: 805-289-1711 Fax: 805-289-1676
Maryellen Benedetto, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 260 Maple Ct Ste 101, Ventura, CA 93003 Phone: 805-644-1831 Fax: 805-644-5114

Jenica Polakow, LCSW - Medicare Clinical Social Worker in Ventura, CA