Jennifer Kathryn Medina, LCSW in Raleigh, NC - Medicare Social Worker Provider

Jennifer Kathryn Medina, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Raleigh, North Carolina. Her current practice location is 2108 Umstead Dr, Raleigh, North Carolina. You can reach out to her office (for appointments etc.) via phone at (919) 445-0837.

Jennifer Kathryn Medina is licensed to practice in North Carolina (license number C007020) 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 1346550522.

Contact Information

	Jennifer Kathryn Medina, LCSW
	2108 Umstead Dr, Raleigh, NC 27603
	(919) 445-0837
	(919) 733-9441

Map and Direction

Healthcare Provider's Profile

Full Name	Jennifer Kathryn Medina
Gender	Female
Speciality	Social Worker - Clinical
Location	2108 Umstead Dr, Raleigh, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1346550522
Provider Enumeration Date: 10/20/2010
Last Update Date: 11/27/2023

Medicare PECOS Information:

PECOS PAC ID: 4587817523
Enrollment ID: I20121226000417

Medical Identifiers

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

Identifier	Type	State	Issuer
1346550522	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	C007020 (North Carolina)	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 Kathryn Medina allows following entities to bill medicare on her behalf.

Entity Name	University Of North Carolina At Chapel Hill
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780669200 PECOS PAC ID: 0648181156 Enrollment ID: O20031105000359

Entity Name	Duke University Health System Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558392977 PECOS PAC ID: 2567372345 Enrollment ID: O20031201000521

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 Kathryn Medina 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 Kathryn Medina, LCSW 1100 Navaho Dr, Suite 114, Raleigh, NC 27609-7319 Ph: (919) 297-2357	Jennifer Kathryn Medina, LCSW 2108 Umstead Dr, Raleigh, NC 27603 Ph: (919) 445-0837

Reviews and Comments

Social Worker in Raleigh, NC

Ms. Tonya R Gable, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3000 New Bern Ave, Raleigh, NC 27610 Phone: 919-350-4163 Fax: 919-350-8509
Ms. Holly H Head, P-LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3000 New Bern Ave, Raleigh, NC 27610 Phone: 919-350-7445 Fax: 919-350-8509
Carol D Kassey, MSW. LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5850 Faringdon Pl, Raleigh, NC 27609 Phone: 919-872-9974 Fax: 919-872-9975
Miss Kimberly G. Kueny, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1001 Navaho Dr, Suite 210, Raleigh, NC 27609 Phone: 919-872-1178 Fax: 919-872-1170
Casey Paganucci, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8105 Fayetteville Rd, Suite 121-2038, Raleigh, NC 27603 Phone: 919-364-5386
Amy Lynn Bryan, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4000 Wake Forest Rd, Suite 200, Raleigh, NC 27609 Phone: 919-865-8710
Miss Darnesha Coleman, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3125 Poplarwood Ct Ste 300, Raleigh, NC 27604 Phone: 919-790-8580

Jennifer Kathryn Medina, LCSW - Medicare Clinical Social Worker in Raleigh, NC