Jennafer Rochelle Provinse, in Encino, CA - Medicare Social Worker Provider

Jennafer Rochelle Provinse, is a medicare enrolled "Social Worker - Clinical" provider in Encino, California. Her current practice location is 15720 Ventura Blvd Ste 420, Encino, California. You can reach out to her office (for appointments etc.) via phone at (562) 449-9258.

Jennafer Rochelle Provinse is licensed to practice in California (license number 117856) 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 1346558772.

Contact Information

	Jennafer Rochelle Provinse,
	15720 Ventura Blvd Ste 420, Encino, CA 91436-4711
	(562) 449-9258
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jennafer Rochelle Provinse
Gender	Female
Speciality	Social Worker - Clinical
Location	15720 Ventura Blvd Ste 420, Encino, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1346558772
Provider Enumeration Date: 09/20/2010
Last Update Date: 10/11/2023

Medicare PECOS Information:

PECOS PAC ID: 6901251891
Enrollment ID: I20231012002250

Medical Identifiers

Medical identifiers for Jennafer Rochelle Provinse such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346558772	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	117856 (California)	Primary
104100000X	Social Worker	82093 (California)	Secondary
1041C0700X	Social Worker - Clinical	(California)	Secondary
101YM0800X	Counselor - Mental Health	82093 (California)	Secondary

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. Jennafer Rochelle Provinse allows following entities to bill medicare on her behalf.

Entity Name	Grow Healthcare Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154994846 PECOS PAC ID: 1850774746 Enrollment ID: O20220809004080

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. Jennafer Rochelle Provinse 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
Jennafer Rochelle Provinse, 2201 E Willow St # 169, Signal Hill, CA 90755-2148 Ph: (562) 449-9258	Jennafer Rochelle Provinse, 15720 Ventura Blvd Ste 420, Encino, CA 91436-4711 Ph: (562) 449-9258

Reviews and Comments

Social Worker in Encino, CA

Ms. Valerie Sadon, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 16055 Ventura Blvd., Suite 500, Encino, CA 91436 Phone: 310-966-6500
Christa Jinn Cuison, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 15720 Ventura Blvd Ste 420, Encino, CA 91436 Phone: 818-927-0478
Mrs. Robyn Sue Sewitz, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 16055 Ventura Blvd, Ste 403, Encino, CA 91436 Phone: 818-788-1404 Fax: 818-784-8069
Ms. Eva Maria Westholm, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 15720 Ventura Blvd Ste 600, Encino, CA 91436 Phone: 818-906-0406 Fax: 818-906-1566
Kelli Brooke Miller, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 16542 Ventura Blvd, Suite 320, Encino, CA 91436 Phone: 818-395-5447
Anne Levin Marsh, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 17337 Ventura Blvd Ste 327, Encino, CA 91316 Phone: 818-521-3614
Victoria Serratos, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 15720 Ventura Blvd Ste 420, Encino, CA 91436 Phone: 818-927-0478 Fax: 818-243-5431

Jennafer Rochelle Provinse, - Medicare Clinical Social Worker in Encino, CA