Jennifer Chase, is a medicare enrolled "Social Worker - Clinical" provider in Titusville, Pennsylvania. Her current practice location is
406 W Oak St, Titusville, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(814) 827-9770.
Jennifer Chase is licensed to practice in Pennsylvania (license number CW024464) 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 1124640099.
Healthcare Provider's Profile
Full Name | Jennifer Chase |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 406 W Oak St, Titusville, Pennsylvania |
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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: 1124640099
- Provider Enumeration Date: 05/13/2020
- Last Update Date: 07/09/2024
Medicare PECOS Information:
- PECOS PAC ID: 3375089899
- Enrollment ID: I20240721000010
Medical Identifiers
Medical identifiers for Jennifer Chase such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124640099 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | CW024464 (Pennsylvania) | 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. Jennifer Chase allows following entities to bill medicare on her behalf.
Entity Name | Titusville Area Hospital |
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Entity Type | Part B Supplier - Hospital Department(s) |
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Entity Identifiers | NPI Number: 1316471212 PECOS PAC ID: 8022907575 Enrollment ID: O20171215001417 |
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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. Jennifer Chase 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 |
Jennifer Chase, 406 W Oak St, Titusville, PA 16354-1499 Ph: (814) 827-9770 | Jennifer Chase, 406 W Oak St, Titusville, PA 16354-1499 Ph: (814) 827-9770 |
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