Jessica Woodell, PHD is a medicare enrolled "Social Worker - Clinical" provider in Harriman, Tennessee. Her current practice location is
307 Devonia St, Harriman, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(865) 882-1164.
Jessica Woodell is licensed to practice in * (Not Available) (license number ) 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 1043922545.
Healthcare Provider's Profile
| Full Name | Jessica Woodell |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 307 Devonia St, Harriman, Tennessee |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1043922545
- Provider Enumeration Date: 12/16/2022
- Last Update Date: 12/16/2022
Medicare PECOS Information:
- PECOS PAC ID: 8628449196
- Enrollment ID: I20230119001745
Medical Identifiers
Medical identifiers for Jessica Woodell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1043922545 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | 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 Woodell allows following entities to bill medicare on her behalf.
| Entity Name | Ridgeview Psychiatric Hospital And Center, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1184659229
PECOS PAC ID: 4981691490
Enrollment ID: O20040611001335 |
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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 Woodell 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 Woodell, PHD
240 W Tyrone Rd,
Oak Ridge, TN 37830-6571
Ph: (865) 482-1076 | Jessica Woodell, PHD
307 Devonia St,
Harriman, TN 37748-2008
Ph: (865) 882-1164 |
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