Jessica Fresh, LICSW in Riverside, RI - Medicare Social Worker Provider

Jessica Fresh, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Riverside, Rhode Island. Her current practice location is 1011 Veterans Memorial Pkwy, Riverside, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 432-1000.

Jessica Fresh is licensed to practice in Rhode Island (license number ISW02964) 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 1679093629.

Contact Information

	Jessica Fresh, LICSW
	1011 Veterans Memorial Pkwy, Riverside, RI 02915-5061
	(401) 432-1000
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jessica Fresh
Gender	Female
Speciality	Social Worker - Clinical
Location	1011 Veterans Memorial Pkwy, Riverside, Rhode Island
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679093629
Provider Enumeration Date: 06/21/2017
Last Update Date: 04/13/2022

Medicare PECOS Information:

PECOS PAC ID: 3173910023
Enrollment ID: I20220425001816

Medical Identifiers

Medical identifiers for Jessica Fresh such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679093629	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	119785 (Massachusetts)	Secondary
1041C0700X	Social Worker - Clinical	ISW02964 (Rhode Island)	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. Jessica Fresh allows following entities to bill medicare on her behalf.

Entity Name	Emma Pendleton Bradley Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578768867 PECOS PAC ID: 3870527526 Enrollment ID: O20050921001082

Entity Name	Lifespan Physician Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548506793 PECOS PAC ID: 2567455082 Enrollment ID: O20130528000089

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. Jessica Fresh 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
Jessica Fresh, LICSW 12 Harris Ave, Warren, RI 02885-2308 Ph: () -	Jessica Fresh, LICSW 1011 Veterans Memorial Pkwy, Riverside, RI 02915-5061 Ph: (401) 432-1000

Reviews and Comments

Social Worker in Riverside, RI

Mollie Burns, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1011 Veterans Memorial Pkwy, Riverside, RI 02915 Phone: 401-432-1000
Mrs. Catherine Lynn Brown, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 610 Wampanoag Trl, Riverside, RI 02915 Phone: 401-431-9870 Fax: 401-435-7486
Samantha Rose Kavanagh, Licsw, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 501 Wampanoag Trl Unit 400, Riverside, RI 02915 Phone: 401-785-0040
Lilliane Joan Murgo, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1011 Veterans Memorial Pkwy, Riverside, RI 02915 Phone: 401-432-1000
Jennifer W. Jencks, PH.D. Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1011 Veterans Memorial Pkwy, Riverside, RI 02915 Phone: 401-432-1000 Fax: 401-432-1500
Ms. Kendra O Macamaux, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1011 Veterans Memorial Pkwy, Riverside, RI 02915 Phone: 401-432-1000 Fax: 401-432-1500
Mica Hinga, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1011 Veterans Memorial Pkwy, Riverside, RI 02915 Phone: 185-554-3546

Jessica Fresh, LICSW - Medicare Clinical Social Worker in Riverside, RI