Mrs Jennifer Kantor Jackman, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Jefferson Valley, New York. Her current practice location is
3630 Hill Blvd, Suite 204a, Jefferson Valley, New York. You can reach out to her office (for appointments etc.) via phone at
(914) 302-2858.
Mrs Jennifer Kantor Jackman is licensed to practice in New York (license number 075500) 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 1215225164.
Healthcare Provider's Profile
Full Name | Mrs Jennifer Kantor Jackman |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 3630 Hill Blvd, Jefferson Valley, New York |
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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: 1215225164
- Provider Enumeration Date: 07/13/2011
- Last Update Date: 06/09/2022
Medicare PECOS Information:
- PECOS PAC ID: 8426430083
- Enrollment ID: I20220729001519
Medical Identifiers
Medical identifiers for Mrs Jennifer Kantor Jackman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1215225164 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 075500 (New York) | 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. Mrs Jennifer Kantor Jackman allows following entities to bill medicare on her behalf.
Entity Name | Apple Tree Lcsw, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1952033144 PECOS PAC ID: 7517349178 Enrollment ID: O20220729001458 |
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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. Mrs Jennifer Kantor Jackman 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 |
Mrs Jennifer Kantor Jackman, LCSW 3630 Hill Blvd, Suite 204a, Jefferson Valley, NY 10535-1502 Ph: (914) 302-2858 | Mrs Jennifer Kantor Jackman, LCSW 3630 Hill Blvd, Suite 204a, Jefferson Valley, NY 10535-1502 Ph: (914) 302-2858 |
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