Jessica Marie Evans, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Cross Junction, Virginia. Her current practice location is
103 Carolyn Dr, Cross Junction, Virginia. You can reach out to her office (for appointments etc.) via phone at
(540) 327-0751.
Jessica Marie Evans is licensed to practice in Virginia (license number 0904015966) 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 1437922838.
Healthcare Provider's Profile
Full Name | Jessica Marie Evans |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 103 Carolyn Dr, Cross Junction, Virginia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1437922838
- Provider Enumeration Date: 11/07/2023
- Last Update Date: 11/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 7113378233
- Enrollment ID: I20240112001584
Medical Identifiers
Medical identifiers for Jessica Marie Evans such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1437922838 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 0904015966 (Virginia) | 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 Marie Evans allows following entities to bill medicare on her behalf.
Entity Name | Myspectrum Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1174029359 PECOS PAC ID: 5799027843 Enrollment ID: O20190422001369 |
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Entity Name | The Mind Health Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1336699461 PECOS PAC ID: 8022429661 Enrollment ID: O20201202003101 |
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Entity Name | Sondermind Provider Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210331001144 |
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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 Marie Evans 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 Marie Evans, LCSW 103 Carolyn Dr, Cross Junction, VA 22625-2401 Ph: (540) 327-0751 | Jessica Marie Evans, LCSW 103 Carolyn Dr, Cross Junction, VA 22625-2401 Ph: (540) 327-0751 |
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