Jessika Evelyn Doyle, LMSW is a medicare enrolled "Social Worker - Clinical" provider in Sanford, Michigan. Her current practice location is
1699 N Nine Mile Rd, Sanford, Michigan. You can reach out to her office (for appointments etc.) via phone at
(989) 284-1486.
Jessika Evelyn Doyle is licensed to practice in Michigan (license number 6801096907) 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 1225693922.
Healthcare Provider's Profile
Full Name | Jessika Evelyn Doyle |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 1699 N Nine Mile Rd, Sanford, Michigan |
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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: 1225693922
- Provider Enumeration Date: 05/08/2019
- Last Update Date: 01/21/2025
Medicare PECOS Information:
- PECOS PAC ID: 5395078133
- Enrollment ID: I20190611000938
Medical Identifiers
Medical identifiers for Jessika Evelyn Doyle such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1225693922 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 6801096907 (Michigan) | Primary |
104100000X | Social Worker | SW142162 (Pennsylvania) | Secondary |
1041C0700X | Social Worker - Clinical | LW61634715 (Washington) | Secondary |
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. Jessika Evelyn Doyle allows following entities to bill medicare on her behalf.
Entity Name | Community Mental Health For Central Michigan |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1881622892 PECOS PAC ID: 4688660533 Enrollment ID: O20040424000125 |
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Entity Name | Central Michigan District Health Department |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1245283977 PECOS PAC ID: 3274794136 Enrollment ID: O20140529002054 |
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Entity Name | Healing Arts North Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1053930412 PECOS PAC ID: 6800216284 Enrollment ID: O20201023002549 |
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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. Jessika Evelyn Doyle 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 |
Jessika Evelyn Doyle, LMSW 1699 N Nine Mile Rd, Sanford, MI 48657-9729 Ph: (989) 284-1486 | Jessika Evelyn Doyle, LMSW 1699 N Nine Mile Rd, Sanford, MI 48657-9729 Ph: (989) 284-1486 |
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