Jennifer L Evancy, APSW in Racine, WI - Medicare Clinical Social Worker Provider

Jennifer L Evancy, APSW is a medicare enrolled "Social Worker - Clinical" provider in Racine, Wisconsin. She went to University Of Wisconsin School Of Medicine and graduated in 2006 and has 18 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Professional Services Group Inc. and her current practice location is 800 Goold St, Racine, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 638-2000.

Jennifer L Evancy is licensed to practice in Wisconsin (license number 8650-123) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1154486876.

Contact Information

	Jennifer L Evancy, APSW
	800 Goold St, Racine, WI 53402-4567
	(262) 638-2000
	(262) 638-2006

Map and Direction

Healthcare Provider's Profile

Full Name	Jennifer L Evancy
Gender	Female
Speciality	Clinical Social Worker
Experience	18 Years
Location	800 Goold St, Racine, Wisconsin
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jennifer L Evancy attended and graduated from University Of Wisconsin School Of Medicine in 2006

NPI Data:

NPI Number: 1154486876
Provider Enumeration Date: 12/22/2006
Last Update Date: 12/12/2016

Medicare PECOS Information:

PECOS PAC ID: 9335417419
Enrollment ID: I20170613002719

Medical Identifiers

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

Identifier	Type	State	Issuer
1154486876	NPI	-	NPPES
391442732	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	8650-123 (Wisconsin)	Primary
101YA0400X	Counselor - Addiction (substance Use Disorder)	17601-130 (Wisconsin)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Professional Services Group Inc.	8224296454	19

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 L Evancy allows following entities to bill medicare on her behalf.

Entity Name	Professional Services Group Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619024262 PECOS PAC ID: 8224296454 Enrollment ID: O20120220000742

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 L Evancy 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 L Evancy, APSW 800 Goold St, Racine, WI 53402-4567 Ph: (262) 638-2000	Jennifer L Evancy, APSW 800 Goold St, Racine, WI 53402-4567 Ph: (262) 638-2000

Reviews and Comments

Social Worker in Racine, WI

Mary Monica Weber, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1220 Mound Ave, Ste 301, Racine, WI 53404 Phone: 262-633-3591 Fax: 262-633-2619
Mrs. Kathleen Fenno Mcnulty, L.C.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1220 Mound Ave, Suite 301, Racine, WI 53404 Phone: 262-633-3591 Fax: 262-633-2619
Jack A Plate, LCSW,LMFT Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4810 Northwestern Ave, Racine, WI 53406 Phone: 262-637-9984 Fax: 262-637-9995
John Tate Ii, APSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 420 7th St, Racine, WI 53403 Phone: 262-634-2391
Sara Aranda, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 937 Hayes Ave, Racine, WI 53405 Phone: 262-744-9110
Stephanie B Hanson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1244 Wisconsin Ave, Suite 303, Racine, WI 53403 Phone: 262-635-5520 Fax: 262-635-5530
Carole Ann Della Pia, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6233 Durand Ave, Suite F, Racine, WI 53406 Phone: 262-554-8165 Fax: 262-554-8165

Jennifer L Evancy, APSW - Medicare Clinical Social Worker in Racine, WI