Jennifer Jedlicka, MSW, LICSW in Saint Cloud, MN - Medicare Social Worker Provider

Jennifer Jedlicka, MSW, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Saint Cloud, Minnesota. Her current practice location is 1406 6th Ave N, Saint Cloud, Minnesota. You can reach out to her office (for appointments etc.) via phone at (320) 251-2700.

Jennifer Jedlicka is licensed to practice in Minnesota (license number 28916) 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 1114633625.

Contact Information

	Jennifer Jedlicka, MSW, LICSW
	1406 6th Ave N, Saint Cloud, MN 56303-1900
	(320) 251-2700
	(320) 656-7106

Map and Direction

Healthcare Provider's Profile

Full Name	Jennifer Jedlicka
Gender	Female
Speciality	Social Worker - Clinical
Location	1406 6th Ave N, Saint Cloud, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114633625
Provider Enumeration Date: 01/27/2023
Last Update Date: 07/01/2024

Medicare PECOS Information:

PECOS PAC ID: 4385018274
Enrollment ID: I20230315002827

Medical Identifiers

Medical identifiers for Jennifer Jedlicka such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114633625	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	28916 (Minnesota)	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 Jedlicka allows following entities to bill medicare on her behalf.

Entity Name	St Cloud Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043269798 PECOS PAC ID: 4880594779 Enrollment ID: O20110221000134

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 Jedlicka 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 Jedlicka, MSW, LICSW 1406 6th Ave N, Saint Cloud, MN 56303-1900 Ph: (320) 251-2700	Jennifer Jedlicka, MSW, LICSW 1406 6th Ave N, Saint Cloud, MN 56303-1900 Ph: (320) 251-2700

Reviews and Comments

Social Worker in Saint Cloud, MN

Patricia Ann Meyer, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4801 Veterans Dr, Saint Cloud, MN 56303 Phone: 320-252-1670
Brittany Holstein, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4801 Veterans Dr, Saint Cloud, MN 56303 Phone: 320-255-6418
Katherine Carol Logeais Hissam, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4801 Veterans Dr, Saint Cloud, MN 56303 Phone: 320-252-1670 Fax: 320-255-6328
Carrie Gapinski, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1411 W Saint Germain St Ste 202, Saint Cloud, MN 56301 Phone: 320-247-4068
Lyndsey Lanes, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4801 Veterans Dr, Saint Cloud, MN 56303 Phone: 320-252-1670
Erin Talberg, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4801 Veterans Dr, Saint Cloud, MN 56303 Phone: 320-252-1670 Fax: 320-654-7662
Jamie Nicole Schmitz, MSW, LGSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4801 Veterans Dr, Saint Cloud, MN 56303 Phone: 320-255-6480

Jennifer Jedlicka, MSW, LICSW - Medicare Clinical Social Worker in Saint Cloud, MN