Kendra Jackimczyk, LCSW in Mesa, AZ - Medicare Social Worker Provider

Kendra Jackimczyk, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Mesa, Arizona. Her current practice location is 7364 E Nopal Ave, Mesa, Arizona. You can reach out to her office (for appointments etc.) via phone at (480) 495-7979.

Kendra Jackimczyk is licensed to practice in Arizona (license number LCSW-10166) 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 1780732990.

Contact Information

	Kendra Jackimczyk, LCSW
	7364 E Nopal Ave, Mesa, AZ 85209-7220
	(480) 495-7979
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kendra Jackimczyk
Gender	Female
Speciality	Social Worker - Clinical
Location	7364 E Nopal Ave, Mesa, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780732990
Provider Enumeration Date: 01/08/2007
Last Update Date: 02/15/2019

Medicare PECOS Information:

PECOS PAC ID: 5698082923
Enrollment ID: I20150917002584

Medical Identifiers

Medical identifiers for Kendra Jackimczyk such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780732990	NPI	-	NPPES
687296	Medicaid	AZ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LCSW-10166 (Arizona)	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. Kendra Jackimczyk allows following entities to bill medicare on her behalf.

Entity Name	Circle The City
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346588316 PECOS PAC ID: 3971824442 Enrollment ID: O20150609001984

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. Kendra Jackimczyk 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
Kendra Jackimczyk, LCSW 7364 E Nopal Ave, Mesa, AZ 85209-7220 Ph: (480) 495-7979	Kendra Jackimczyk, LCSW 7364 E Nopal Ave, Mesa, AZ 85209-7220 Ph: (480) 495-7979

Reviews and Comments

Social Worker in Mesa, AZ

Robert Whitney, MSW, ACSW, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1423 S Higley Rd, Suite 112, Mesa, AZ 85206 Phone: 480-654-0992 Fax: 480-325-5444
Ms. Teri Virginia Krull, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2345 S Alma School Rd, 110, Mesa, AZ 85210 Phone: 480-917-7792
Kelly Lalan, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1921 S Alma School Rd, Mesa, AZ 85210 Phone: 480-466-2428
Stacy Underwood, NP Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1255 W Baseline Rd, Suite B258, Mesa, AZ 85202 Phone: 480-820-0825
Ms. Barbara Johnson Bryant, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1825 N Stapley Dr, 2021, Mesa, AZ 85203 Phone: 219-730-9244
Lisa Marie Edin Browning, MSW LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 6344 E Broadway Rd, Suite 104, Mesa, AZ 85206 Phone: 480-703-7950
Allison Spencer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3048 E Baseline Rd Ste 107, Mesa, AZ 85204 Phone: 480-482-1838

Kendra Jackimczyk, LCSW - Medicare Clinical Social Worker in Mesa, AZ