Jennifer Marie Carlock, LCSW in Bloomington, IL - Medicare Social Worker Provider

Jennifer Marie Carlock, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Bloomington, Illinois. Her current practice location is 702 W Chestnut St, Bloomington, Illinois. You can reach out to her office (for appointments etc.) via phone at (888) 924-3786.

Jennifer Marie Carlock is licensed to practice in Illinois (license number 149.013728) 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 1437876828.

Contact Information

	Jennifer Marie Carlock, LCSW
	702 W Chestnut St, Bloomington, IL 61701-2814
	(888) 924-3786
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jennifer Marie Carlock
Gender	Female
Speciality	Social Worker - Clinical
Location	702 W Chestnut St, Bloomington, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1437876828
Provider Enumeration Date: 10/26/2022
Last Update Date: 10/26/2022

Medicare PECOS Information:

PECOS PAC ID: 2062889553
Enrollment ID: I20221114001826

Medical Identifiers

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

Identifier	Type	State	Issuer
1437876828	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	149.013728 (Illinois)	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 Marie Carlock allows following entities to bill medicare on her behalf.

Entity Name	Chestnut Health Systems, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366431686 PECOS PAC ID: 1052393063 Enrollment ID: O20040603000738

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 Marie Carlock 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 Marie Carlock, LCSW 448 Wylie Dr, Normal, IL 61761-5405 Ph: (161) 851-2180	Jennifer Marie Carlock, LCSW 702 W Chestnut St, Bloomington, IL 61701-2814 Ph: (888) 924-3786

Reviews and Comments

Social Worker in Bloomington, IL

Hannah Deterding, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 108 W Market St, Bloomington, IL 61701 Phone: 309-827-5351
Sara Fidlow, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1003 Martin Luther King Dr, Bloomington, IL 61701 Phone: 309-827-6026
Daniela Michelle Van Pelt, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 702 W Chestnut St, Bloomington, IL 61701 Phone: 888-924-3786 Fax: 309-820-3574
Jaylene Taubert, MSW LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 712 E Empire St Ste 1, Bloomington, IL 61701 Phone: 309-310-2841
Zoe Jane Baker, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 205 N Williamsburg Dr Ste A, Bloomington, IL 61704 Phone: 309-807-5077
Ms. Johanna Rayman, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 200 W Monroe St, Suite 301, Bloomington, IL 61701 Phone: 309-310-5453
Danielle D Beasley, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 108 W Market St, Bloomington, IL 61701 Phone: 309-827-5351 Fax: 309-829-6808

Jennifer Marie Carlock, LCSW - Medicare Clinical Social Worker in Bloomington, IL